| NPI | 1760664015 |
|---|---|
| Doing Business As | MAGNOLIA CITY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CASEY A ROBERTS Owner/Dentist 580-924-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5808) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2017-02-24 |