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Organization
MICHAEL D MAGDATO OD
Active
Organization
MICHAEL D MAGDATO OD
Active
Other names
Montclair Optometric Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D MAGDATO OD (OWNER)
(714) 651-6987
Entity
Organization
Contact information
Practice address
5237 ARROW HWY, MONTCLAIR, CA 91763-1308
(909) 625-6567
Mailing address
5237 ARROW HWY, MONTCLAIR, CA 91763-1308
(909) 625-6567
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5700641
—
CA
Enumeration date
10/30/2020
Last updated
03/10/2021
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