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Jacqueline Medina, DDS
NPI 1679718514 · on the registry since 2008 · sole proprietor
Practice
- Address
- 515 Delaware St Se Fl 6
Minneapolis, MN 55455 - Phone
- (612) 625-5945
- Organisation at this address
- University Of Minnesota
Regents Of The University Of Minnesota
Regents Of The University Of Minnesota
Regents Of The University Of Minnesota
Regents Of The University Of MinnesotaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 214
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-04
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 Minnesota