| NPI | 1659182988 |
|---|---|
| Doing Business As | MAGNOLIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | THERESA CHO CEO Ambulatory Care 805-677-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |