person
Dr. Vivian Medina, DDS
General Practice Dentistry in Tampa, Florida
NPI 1376566521

Vivian Medina is a General Practice Dentistry based in Tampa, FL and is specialized in General Practice. Vivian Medina practices in Tampa, FL and has the professional credentials of DDS. The NPI Number for Vivian Medina is 1376566521 and holds a License No. DN-12750 (Florida).

The current practice location address for Vivian Medina is 3630 Madaca Ln, Tampa, FL and can be reached out via phone at 813-264-0286 and via fax at 813-960-4667.

Location: 3630 Madaca Ln, Tampa, FL, 33618-2057
person
Provider Profile Details
NPI Number
1376566521
Provider Name
Vivian Medina
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3630 Madaca Ln, Tampa, FL, 33618-2057
Phone Number
813-264-0286
Fax Number
813-960-4667
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
073649000 05 FL
institution
Provider Business Practice Location Address Details
Address
3630 Madaca Ln
City
State
Zip
33618-2057
Phone Number
813-264-0286
Fax Number
813-960-4667
person
Provider Business Mailing Address Details
Address
3630 Madaca Ln
City
State
Zip
33618-2057
Phone Number
813-264-0286
Fax Number
813-960-4667
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DN-12750 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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