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Organization
MOULIK D.D.S. INC
Active
Organization
MOULIK D.D.S. INC
Active
Other names
SANTA ANA MAGIC SMILE DENTAL PRACTICE OF MOULIK D.D.S INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHASWATI MOULIK D.D.S (OWNER/CHIEF EXECUTIVE OFFICER)
(949) 292-5863
Entity
Organization
Contact information
Practice address
2112 N MAIN ST STE 100, SANTA ANA, CA 92706-2738
(714) 835-6677
(714) 558-6892
Mailing address
2112 N MAIN ST STE 100, SANTA ANA, CA 92706-2738
(714) 835-6677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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