| NPI | 1053609701 |
|---|---|
| Doing Business As | DENTAL MAGIC |
| Entity Type | Organization |
| Authorized Contact | ALICIA C KIEFFER Operations Manager 708-819-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019024373) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019024373) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2013-11-08 |