Jennifer Datwyler, Dmd, INC
Dentist, Pediatric Dentistry in El Dorado Hills, CA. Organization (NPI-2).
NPI number1043370448
StatusActive
Last updated in NPPESOct 22, 2018
Details
- NPI
- 1043370448
- Entity type
- Organization (NPI-2)
- Legal business name
- Jennifer Datwyler, Dmd, INC
- Organization subpart
- No
- Enumeration date
- Dec 8, 2006
- Last updated
- Oct 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 42679 | CA | Yes |
Other names
- Magic Smiles Dentistry (Doing Business As)
Practice location
5009 Windplay DrSuite 1
El Dorado Hills, CA 95762
Phone 916-941-2366 · Fax 916-941-1443
Mailing address
5009 Windplay DrSuite 1
El Dorado Hills, CA 95762
Phone 916-941-2341 · Fax 916-941-1443
Authorized official
Jennifer R Datwyler
President
9169412341
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All 9 Pediatric Dentistry providers in El Dorado Hills · All 1,303 providers in El Dorado Hills
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