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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK R MEDINA & THOMAS KERRIAN

Active Organization

MARK R MEDINA & THOMAS KERRIAN is a General Dentistry organization located in SAN DIEGO, California. NPI 1417062472 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SAN DIEGO, CA

Registration Details

NPI Number
1417062472
Provider Type
Organization
NPI Issued
Aug 20, 2006 (19.798000433755 yrs)
Last Updated
Jul 17, 2008
Licenses
25595 (CA)
31129 (CA)

Practice Information

Address
9955 CARMEL MOUNTAIN RD STE 4
SAN DIEGO, CA, 921292815
Browse CA providers · Browse ZIP 92129
Phone
8584843100
Fax
8584848510
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Organizations in SAN DIEGO, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.