| NPI | 1134345937 |
|---|---|
| Doing Business As | MAGIC SMILES DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | AMANDA J TRUJILLO Credentialing Manager 602-253-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-02-07 |