| Santa Ana Magic Smile Dental Practice Of Moulik D.d.s Inc | |
|
2112 N Main St Ste 100 Santa Ana CA 92706-2738 | |
| (714) 835-6677 | |
| (714) 558-6892 |
| Full Name | Santa Ana Magic Smile Dental Practice Of Moulik D.d.s Inc |
|---|---|
| Speciality | Dentist |
| Location | 2112 N Main St Ste 100, Santa Ana, California |
| Authorized Official Name and Position | Bhaswati Moulik (OWNER/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9492925863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Ana Magic Smile Dental Practice Of Moulik D.d.s Inc 2112 N Main St Ste 100 Santa Ana CA 92706-2738 Ph: (714) 835-6677 | Santa Ana Magic Smile Dental Practice Of Moulik D.d.s Inc 2112 N Main St Ste 100 Santa Ana CA 92706-2738 Ph: (714) 835-6677 |
| NPI Number | 1912420340 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912420340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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