| NPI | 1588325559 |
|---|---|
| Doing Business As | MAGNOLIA FAMILY DENTAL AND ORTHODONTIC |
| Entity Type | Organization |
| Authorized Contact | VICENTA REYES Director Of Credentialing 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2023-04-26 |