Organization · Type 2 NPI
Ivan Medina-Martinez Dds, Inc.
Dental Clinic/Center · Bakersfield, CA
NPI number
1467945212
Active
Practice location
2122 Brundage Ln
Bakersfield, CA 93304-2702
Fax (661) 349-9980
Mailing address
3403 Wilson Rd
Bakersfield, CA 93309-5208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 102012 (CA) |
Dental Clinic/Center: Definition to come...
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About NPI 1467945212
Ivan Medina-Martinez Dds, Inc.'s National Provider Identifier is 1467945212, issued on Jun 7, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Bakersfield, CA. The record was last updated on Mar 7, 2023.