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Individual

DR. MARIO ALBERTO OLGUIN MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3650 BRADDOCK AVE NE STE 200, BUFFALO, MN 55313-3681
(763) 270-6900
Mailing address
409 UNIVERSITY AVE SE APT 26, MINNEAPOLIS, MN 55414-1727
(612) 850-2408

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14777
MN

Other

Enumeration date
06/21/2022
Last updated
09/28/2022
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