| NPI | 1558759845 |
|---|---|
| Doing Business As | MAGNOLIA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LIDIA MARISELA MARCINKOWSKI President 951-278-8426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 47125) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |