| NPI | 1699173864 |
|---|---|
| Doing Business As | MAJESTIC DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | ALFONSO MAURNO Office Manager 818-281-7493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47252) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 47066) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-22 |