| Magnolia Modern Dental | |
|
3519 Van Buren Blvd Ste 104 Riverside CA 92503-0306 | |
| (626) 235-7092 | |
| Not Available |
| Full Name | Magnolia Modern Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3519 Van Buren Blvd Ste 104, Riverside, California |
| Authorized Official Name and Position | Ghazaleh Nouri (PRESIDENT) |
| Authorized Official Contact | 6262357067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Modern Dental 3326 Clipstone Ct Riverside CA 92503-5266 Ph: (626) 235-7067 | Magnolia Modern Dental 3519 Van Buren Blvd Ste 104 Riverside CA 92503-0306 Ph: (626) 235-7092 |
| NPI Number | 1982369385 |
|---|---|
| Provider Enumeration Date | 11/01/2021 |
| Last Update Date | 11/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982369385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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