Medina, Myrna Jose

Medina, Myrna Jose is an sole proprietor health care provider with primary practice located at 15 Penny Ln Ste 1 , Watsonville CA 95076-6010. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Medina, Myrna Jose can be contacted via phone (831) 722-4635.

Contact Information

Primary practice address
15 Penny Ln Ste 1 Watsonville CA 95076-6010
Fax: (831) 722-5735
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 31482 California

Profile Details

NPI number 1558446575
LBN Legal business name Medina, Myrna Jose
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 18 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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