| NPI | 1225814478 |
|---|---|
| Doing Business As | MAGNOLIA MOUNTAIN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ASHLEY GATES Owner Dentist 828-506-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-10-11 |