Individual
DR. DONALD WAYNE MAGNUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17420 PENN VALLEY DR, PENN VALLEY, CA 95946-8945
(530) 432-1187
(530) 432-2574
Mailing address
PO BOX 310, PENN VALLEY, CA 95946-0310
(530) 432-1187
(530) 432-2574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34633
CA
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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