NPI | 1912116971 |
---|---|
Doing Business As | MAGIC SMILE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARTHA LIGIA GUTIERREZ Owner Managing Dentist 310-676-2442 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA d44176) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2007-11-14 |