| Magicland Dental Group Of Rancho Dominguez | |
|
1633 S Alameda St Ste 101 Compton CA 90220-4976 | |
| (310) 820-9933 | |
| (310) 820-0408 |
| Full Name | Magicland Dental Group Of Rancho Dominguez |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1633 S Alameda St Ste 101, Compton, 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 Dental Group Of Rancho Dominguez 12121 Wilshire Blvd Ste 1111 Los Angeles CA 90025-1188 Ph: (310) 409-4225 | Magicland Dental Group Of Rancho Dominguez 1633 S Alameda St Ste 101 Compton CA 90220-4976 Ph: (310) 820-9933 |
| NPI Number | 1659903656 |
|---|---|
| Provider Enumeration Date | 02/07/2020 |
| Last Update Date | 01/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659903656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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