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1245676568
MAGNOLIA DENTAL LLC
COVINGTON, LA
NPI
1245676568
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Entity Type
Organization
Authorized Contact
ROSS WEBSTER QUARTANO
Dentist/Owner
985-626-3348
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: LA 5979)
Enumeration Date
2013-05-14
Last Update Date
2013-05-14
Business Address
MAGNOLIA DENTAL LLC
6061 PINNACLE PARKWAY
COVINGTON, LA 70433
Phone number: 985-626-3348
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Mailing Address
MAGNOLIA DENTAL LLC
1204 RUE DEGAS
MANDEVILLE, LA 70471-3056
Phone number: 985-626-3348
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