Individual
DR. BULMARIO MEDINA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, FAACP, IBO
Contact information
Practice address
7950 CHERRY AVE, SUITE 101, FONTANA, CA 92336-4022
(909) 854-5400
(909) 854-6941
Mailing address
7950 CHERRY AVE, SUITE 101, FONTANA, CA 92336-4022
(909) 854-5400
(909) 854-6941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35400
CA
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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