| NPI | 1639593817 |
|---|---|
| Doing Business As | MAGNOLIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | NGUYEN V. NGUYEN President 407-493-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 18897) |
| Enumeration Date | 2014-02-09 |
| Last Update Date | 2014-02-09 |