Individual provider · Type 1 NPI

Jetzabel Medina Perez, DDS

Dentist · Los Angeles, CA

NPI number 1073405445 Active

Practice location

255 S Grand Ave Ste 204
Los Angeles, CA 90012-3035

Mailing address

225 S Olive St Apt 402
Los Angeles, CA 90012-4902

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X111528 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1073405445

Jetzabel Medina Perez, DDS's National Provider Identifier is 1073405445, issued on Jul 18, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 18, 2025.