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1508684267
MAGNOLIA DENTAL LLC
MESA, AZ
NPI
1508684267
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Entity Type
Organization
Authorized Contact
MARVIN BLANE JACKSON
Owner
435-637-2100
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
MAGNOLIA DENTAL LLC
2346 E BROWN RD
MESA, AZ 85213-5255
Phone number: 435-637-2100
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Mailing Address
MAGNOLIA DENTAL LLC
250 N FAIRGROUNDS RD STE 1
PRICE, UT 84501-4201
Phone number: 435-637-2100
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