Espino & Medina Dds Inc. | |
2211 University Ave. Riverside CA 92507 | |
(951) 289-9198 | |
Not Available |
Full Name | Espino & Medina Dds Inc. |
---|---|
Speciality | Clinic/center - Dental |
Location | 2211 University Ave., Riverside, California |
Authorized Official Name and Position | David O. Medina (PRESIDENT) |
Authorized Official Contact | 8188151229 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Espino & Medina Dds Inc. P.o. Box 71126 Riverside CA 92513 Ph: (818) 815-1229 | Espino & Medina Dds Inc. 2211 University Ave. Riverside CA 92507 Ph: (951) 289-9198 |
NPI Number | 1083138481 |
---|---|
Provider Enumeration Date | 07/28/2017 |
Last Update Date | 10/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083138481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | 57425 (California) | Primary |
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