| NPI | 1184317067 |
|---|---|
| Doing Business As | MAGNA FAMILY DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | TONY LE Owner Dentist 303-949-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |