| NPI | 1386830438 |
|---|---|
| Doing Business As | SANTA ANA MAGIC SMILE |
| Entity Type | Organization |
| Authorized Contact | MARTHA L. GUTIERREZ President 714-835-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA D44176) |
| Enumeration Date | 2007-09-22 |
| Last Update Date | 2007-09-22 |