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Organization
LIDIA MARISELA MARCINKOWSKI DDS INC
Active
Organization
LIDIA MARISELA MARCINKOWSKI DDS INC
Active
Other names
Magnolia Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
LIDIA MARISELA MARCINKOWSKI DDS (PRESIDENT)
(951) 278-8426
Entity
Organization
Contact information
Practice address
13100 MAGNOLIA AVE, SUITE B, CORONA, CA 92879-5365
(951) 278-8426
(951) 278-8427
Mailing address
13100 MAGNOLIA AVE, SUITE B, CORONA, CA 92879-5365
(951) 278-8426
(951) 278-8427
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47125
CA
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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