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MICHAEL VINCENT LAUREOLA DDS INC NPI 1316117104


NPI Information

NPI: 1316117104
Provider Name: MICHAEL VINCENT LAUREOLA DDS INC

Doing Business As: MAGICLAND DENTAL GROUP

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
21229 HAWTHORNE BLVD
SUITE B
TORRANCE, CA
ZIP 90503
Phone: (310) 792-5200
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MICHAEL VINCENT LAUREOLA DDS INC is a pediatric dentistry dentist in Torrance, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MICHAEL VINCENT LAUREOLA DDS INC NPI is 1316117104. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Magicland Dental Group.

The provider's business location address is:

21229 HAWTHORNE BLVD
SUITE B
TORRANCE, CA
ZIP 90503-501
Phone: (310) 792-5200
Fax: (310) 792-5201

The provider's authorized official is Michael Vincent Laureola .
The authorized official title is President and has the following contact phone number (310) 792-5200.

The enumeration date for this NPI number is 3/7/2008 and was last updated on 3/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry55121CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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