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 |