person
Dr. Diana Marcela Medina, DDS
Oral and Maxillofacial Surgery (Dentist) in Los Angeles, California
NPI 1003827551

Diana Marcela Medina is a Oral and Maxillofacial Surgery (Dentist) based in Los Angeles, CA and is specialized in Oral and Maxillofacial Surgery. Diana Marcela Medina practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Diana Marcela Medina is 1003827551 and holds a License No. 50643 (California).

The current practice location address for Diana Marcela Medina is 11980 San Vicente Blvd, Los Angeles, CA and can be reached out via phone at 310-820-6691 and via fax at 310-820-6041.

Location: 11980 San Vicente Blvd, Los Angeles, CA, 90024-5985
person
Provider Profile Details
NPI Number
1003827551
Provider Name
Diana Marcela Medina
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
11980 San Vicente Blvd, Los Angeles, CA, 90024-5985
Phone Number
310-820-6691
Fax Number
310-820-6041
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11980 San Vicente Blvd
City
State
Zip
90049-5012
Phone Number
310-820-6691
Fax Number
310-820-6041
person
Provider Business Mailing Address Details
Address
11980 San Vicente Blvd
City
State
Zip
90049-5012
Phone Number
310-820-6691
Fax Number
310-820-6041
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
50643 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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