Medina, Amanda R.

Medina, Amanda R. is an individual health care provider with primary practice located at 1 Childrens Plz Suite 2070, Dayton OH 45404-1898. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dental Assistant. Dental Providers / Dental Assistant is her primary health care specialty. Medina, Amanda R. can be contacted via phone (937) 641-3455.

Contact Information

Primary practice address
1 Childrens Plz Suite 2070 Dayton OH 45404-1898
Phone: (937) 641-3455
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 00845 Ohio
Dental Providers / Dental Assistant 126800000X 00845 Ohio

Profile Details

NPI number 1861629099
LBN Legal business name Medina, Amanda R.
Credentials DENTAL ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2009
Last updated Jun 15th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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