| NPI | 1912420340 |
|---|---|
| Doing Business As | SANTA ANA MAGIC SMILE DENTAL PRACTICE OF MOULIK D.D.S INC |
| Entity Type | Organization |
| Authorized Contact | BHASWATI MOULIK Owner/Chief Executive Officer 949-292-5863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-21 |