| NPI | 1942780853 |
|---|---|
| Doing Business As | MAGICLAND DENTAL GROUP OF RIALTO |
| Entity Type | Organization |
| Authorized Contact | MIGUEL REYES Q/A Contract & Compliance Manager 310-820-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-07-30 |