| NPI | 1205470549 |
|---|---|
| Doing Business As | MAGNOLIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA PHAM Owner 720-207-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |