| NPI | 1073278628 |
|---|---|
| Doing Business As | MAGNOLIA DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRISSIE WRIGHT Office Manager 980-284-2108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2022-10-26 |