| NPI | 1386461283 |
|---|---|
| Doing Business As | MAGNESS DENTAL |
| Entity Type | Organization |
| Authorized Contact | MEGAN TANNER Office Manager 385-284-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-30 |