Provider Demographics
NPI:1275224073
Name:MAGLI, LUCIANO ANTONIO (DDS CAGS)
Entity Type:Individual
Prefix:DR
First Name:LUCIANO
Middle Name:ANTONIO
Last Name:MAGLI
Suffix:
Gender:M
Credentials:DDS CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2367 ROCK POINT DR
Mailing Address - Street 2:
Mailing Address - City:OAKVILLE
Mailing Address - State:ON
Mailing Address - Zip Code:L6H 7V3
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2367 ROCK POINT DR
Practice Address - Street 2:
Practice Address - City:OAKVILLE
Practice Address - State:ON
Practice Address - Zip Code:L6H 7V3
Practice Address - Country:CA
Practice Address - Phone:647-981-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN189421223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics