Organization
MICHAEL VINCENT LAUREOLA DDS INC
Active
Other names
MAGICLAND DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VINCENT LAUREOLA (PRESIDENT)
(310) 792-5200
Entity
Organization
Contact information
Practice address
3820 SEPULVEDA BLVD, TORRANCE, CA 90505-2408
(310) 792-5200
(310) 792-5201
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
1223P0221X
Pediatric Dentistry
Primary
55121
CA
Other
Enumeration date
03/07/2008
Last updated
06/08/2023
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