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Jaqueline Medina, DDS
NPI 1477167419 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2780 Fm 365
Suite C
Port Arthur, TX 77640 - Phone
- (409) 332-4701
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas