| NPI | 1801311709 |
|---|---|
| Doing Business As | MAGNOLIA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LEAHA NELS Owner 405-317-6471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 6794) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2022-07-21 |