| Magic Smiles Dentistry | |
|
5009 Windplay Dr Suite 1 El Dorado Hills CA 95762 | |
| (916) 941-2366 | |
| (916) 941-1443 |
| Full Name | Magic Smiles Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5009 Windplay Dr, El Dorado Hills, California |
| Authorized Official Name and Position | Jennifer R Datwyler (PRESIDENT) |
| Authorized Official Contact | 9169412341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magic Smiles Dentistry 5009 Windplay Dr Suite 1 El Dorado Hills CA 95762 Ph: (916) 941-2341 | Magic Smiles Dentistry 5009 Windplay Dr Suite 1 El Dorado Hills CA 95762 Ph: (916) 941-2366 |
| NPI Number | 1043370448 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 10/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043370448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 42679 (California) | Primary |
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