MARK R MEDINA & THOMAS KERRIAN NPI 1417062472

NPI Information

MARK R MEDINA & THOMAS KERRIAN is a general practice dentist in San Diego, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MARK R MEDINA & THOMAS KERRIAN NPI is 1417062472. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rancho Penasquitos Dental Center.

The provider's business location address is:

9955 CARMEL MOUNTAIN RD STE 4
SAN DIEGO, CA
ZIP 92129-815
Phone: (858) 484-3100
Fax: (858) 484-8510

The provider's authorized official is Thomas J Kerrian .
The authorized official title is Dentist and has the following contact phone number (858) 484-3100.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 7/17/2008.

Taxonomy Codes

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Other Identifiers

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