Individual
MRS. AIDA A MEDINA-FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
12730 HAWTHORNE BLVD, D, HAWTHORNE, CA 90250-3919
(310) 644-4000
(310) 644-3232
Mailing address
946 W 64TH ST, LOS ANGELES, CA 90044-5304
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
67476
CA
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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