NPI | 1881741429 |
---|---|
Doing Business As | MAGNOLIA DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | OH JAE KWON President 951-588-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 46484) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2017-03-31 |