| NPI | 1447990445 |
|---|---|
| Doing Business As | MAGNOLIA CREEK DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | FELICIA PRANATA Manager 713-530-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-30 |