| NPI | 1982369385 |
|---|---|
| Doing Business As | MAGNOLIA MODERN DENTAL |
| Entity Type | Organization |
| Authorized Contact | GHAZALEH NOURI President 626-235-7067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-03 |