| NPI | 1356081228 |
|---|---|
| Doing Business As | MAGNOLIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROSS WEBSTER QUARTANO Owner 985-327-6501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-30 |