OrganizationActive
A Medina Professional Dental Corporation
NPI 1114167186 · Dentist · Chula Vista, CA
Provider details
- NPI number
- 1114167186
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Alfred Medina, President(619) 420-6030
- License
- 29371 (CA)
Specialties & taxonomies
Dental Providers
Practice location
309 Third Avenue
Chula Vista, CA 91910-3910
Phone: (619) 420-6030
Fax: (619) 420-9102
Approximate (ZIP-level) locationGet directions
Mailing address
309 Third Avenue
Chula Vista, CA 91910-3910
Registry dates
- Enumerated
- 2009-03-03
- Last updated
- 2015-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.