| Magicland Children's Dentistry & Orthodontics Dental Group | |
|
6423 Vineland Ave North Hollywood CA 91606-2712 | |
| (310) 820-9933 | |
| (310) 820-0408 |
| Full Name | Magicland Children's Dentistry & Orthodontics Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6423 Vineland Ave, North Hollywood, California |
| Authorized Official Name and Position | Miguel Reyes (Q/A CONTRACT & COMPLIANCE MANAGER) |
| Authorized Official Contact | 3104094225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magicland Children's Dentistry & Orthodontics Dental Group 12121 Wilshire Blvd Ste 1111 Los Angeles CA 90025-1188 Ph: (310) 820-9933 | Magicland Children's Dentistry & Orthodontics Dental Group 6423 Vineland Ave North Hollywood CA 91606-2712 Ph: (310) 820-9933 |
| NPI Number | 1780396796 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 04/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780396796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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