Individual
DR. INGRID LUZ MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5927 SE BABB RD, BELLEVIEW, FL 34420-4105
(352) 245-9184
Mailing address
1309 SE 37TH AVE, OCALA, FL 34471-4962
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18625
FL
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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