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Organization
MICHAEL VINCENT LAUREOLA DDS INC
Active
Organization
MICHAEL VINCENT LAUREOLA DDS INC
Active
Other names
MAGICLAND DENTAL GROUP OF SANTA FE SPRINGS
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL REYES (AUTHORIZED OFFICIAL)
(310) 409-4225
Entity
Organization
Contact information
Practice address
10639 CARMENITA RD UNIT 7, SANTA FE SPRINGS, CA 90670-4017
(310) 820-9933
(310) 820-0408
Mailing address
12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025-1188
(310) 820-9933
(310) 820-0408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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