Individual
NATALY GRACIELA MAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 LA RICA AVE STE D, BALDWIN PARK, CA 91706-3163
(626) 430-9171
Mailing address
15093 KINGSFORD AVE, ADELANTO, CA 92301-4802
(760) 713-2160
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
73759
CA
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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