Individual
YURY NATALIA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1049 MAIN ST, SPRINGFIELD, MA 01103-2114
(413) 739-1100
(413) 735-1133
Mailing address
1049 MAIN ST, SPRINGFIELD, MA 01103-2114
(413) 739-1100
(413) 735-1133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL101140
MA
126800000X
Dental Assistant
DA03071
MA
Other
Enumeration date
07/21/2025
Last updated
01/25/2026
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