| NPI | 1295013340 |
|---|---|
| Other Name | MAGNOLIA FAMILY DENTISTRY OF COLUMBUS |
| Entity Type | Organization |
| Authorized Contact | DONNIE J RICHARDSON Owner 662-327-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3463-08) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |