Organization
JENNIFER DATWYLER, DMD, INC
Active
Other names
Magic Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER R DATWYLER DMD (PRESIDENT)
(916) 941-2341
Entity
Organization
Contact information
Practice address
5009 WINDPLAY DR, SUITE 1, EL DORADO HILLS, CA 95762
(916) 941-2366
(916) 941-1443
Mailing address
5009 WINDPLAY DR, SUITE 1, EL DORADO HILLS, CA 95762
(916) 941-2341
(916) 941-1443
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
42679
CA
Other
Enumeration date
12/08/2006
Last updated
10/22/2018
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