Organization · Type 2 NPI

Mark R Medina & Thomas Kerrian

General Practice Dentistry · San Diego, CA

NPI number 1417062472 Active

About NPI 1417062472

Mark R Medina & Thomas Kerrian's National Provider Identifier is 1417062472, issued on Aug 20, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Diego, CA. The record was last updated on Jul 17, 2008.