| NPI | 1104717560 |
|---|---|
| Doing Business As | SOUTHERN MAGNOLIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN PFISTER Owner Dentist 334-232-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |