| NPI | 1326705021 |
|---|---|
| Doing Business As | MAGNOLIA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANGELA GRACE MARTEENY Owner 281-813-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2022-04-04 |