NPI | 1043370448 |
---|---|
Doing Business As | MAGIC SMILES DENTISTRY |
Entity Type | Organization |
Authorized Contact | JENNIFER R DATWYLER President 916-941-2341 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 42679) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2018-10-22 |