| Magnolia Dental Group | |
|
13100 Magnolia Ave Suite B Corona CA 92879-5365 | |
| (951) 278-8426 | |
| (951) 278-8427 |
| Full Name | Magnolia Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 13100 Magnolia Ave, Corona, California |
| Authorized Official Name and Position | Lidia Marisela Marcinkowski (PRESIDENT) |
| Authorized Official Contact | 9512788426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Dental Group 13100 Magnolia Ave Suite B Corona CA 92879-5365 Ph: (951) 278-8426 | Magnolia Dental Group 13100 Magnolia Ave Suite B Corona CA 92879-5365 Ph: (951) 278-8426 |
| NPI Number | 1558759845 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 01/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558759845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47125 (California) | Primary |
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