# MAGIC DENTAL NJ PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184780777
- **Authorized official:** DR. YAN MA DDS (PRESIDENT)
- **Authorized official phone:** (732) 985-8882

## Contact information

- **Practice address:** 1716 ROUTE 27 FL 2, EDISON, NJ 08817-3449
- **Practice address phone:** (732) 985-8882
- **Practice address fax:** (732) 985-8883
- **Mailing address:** 1716 ROUTE 27 FL 2, EDISON, NJ 08817-3449
- **Mailing address phone:** (732) 985-8882
- **Mailing address fax:** (732) 985-8883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI21220 | NJ | Yes |
| 1223G0001X | General Practice Dentistry | DZ02296100 | NJ | — |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 01/30/2008
