| NPI | 1225527765 |
|---|---|
| Doing Business As | MAGNOLIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER F. WONG Owner 805-543-6963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-06-16 |