| NPI | 1558995951 |
|---|---|
| Doing Business As | MOLAR MAGIC OF CASA GRANDE |
| Entity Type | Organization |
| Authorized Contact | MARIO MONTANEZ Pediatric Dentist/Owner 505-467-9383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |