Individual
DR. MARIKIT TONGO MAGKALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1367 US-72, KILLEN, AL 35645
(256) 272-3464
Mailing address
5780 N CAREFREE CIR, COLORADO SPRINGS, CO 80917-2795
(719) 300-4639
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00205774
CO
1223G0001X
General Practice Dentistry
Primary
D.0006759-C1
AL
Other
Enumeration date
06/11/2020
Last updated
10/02/2023
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