Individual
DR. MATTHEW MACGINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
333 W BASTANCHURY RD, FULLERTON, CA 92835-3433
(714) 253-5333
Mailing address
2553 N GLEN CANYON RD, ORANGE, CA 92867-2101
(714) 345-4602
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58509
CA
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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