NPI | 1720106982 |
---|---|
Doing Business As | MAGNOLIA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ALEKSEY FUKS Owner 818-980-7222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42547) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-08-22 |