NPI | 1649157439 |
---|---|
Doing Business As | MAGNOLIA GENERAL DENTISTRY |
Entity Type | Organization |
Authorized Contact | JORDAN CALDWELL Owner Dentist 318-450-2941 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-08-21 |
Last Update Date | 2025-08-21 |