| NPI | 1689931735 |
|---|---|
| Doing Business As | MAGNOLIA PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRADY JONATHAN CAMP Owner 972-899-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23238) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |