| NPI | 1720719859 |
|---|---|
| Doing Business As | MAGICLAND DENTAL GROUP OF SANTA FE SPRINGS |
| Entity Type | Organization |
| Authorized Contact | MIGUEL REYES Authorized Official 310-409-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2022-06-20 |