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Timothy Medianick, D.M.D
NPI 1750596045 · on the registry since 2007 · sole proprietor
Practice
- Address
- 430 Kenhorst Blvd
Reading, PA 19611 - Phone
- (610) 775-0321
- Fax
- (610) 777-8884
- Organisation at this address
- Boulevard Dental Associates
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-13
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 Pennsylvania