| Magnolia Dental Clinic | |
|
9939 Magnolia Ave Riverside CA 92503-3528 | |
| (951) 588-5600 | |
| (951) 588-5603 |
| Full Name | Magnolia Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 9939 Magnolia Ave, Riverside, California |
| Authorized Official Name and Position | Oh Jae Kwon (PRESIDENT) |
| Authorized Official Contact | 9515885600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Dental Clinic 9939 Magnolia Ave Riverside CA 92503-3528 Ph: (951) 588-5600 | Magnolia Dental Clinic 9939 Magnolia Ave Riverside CA 92503-3528 Ph: (951) 588-5600 |
| NPI Number | 1881741429 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 03/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881741429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46484 (California) | Primary |
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