| NPI | 1811457500 |
|---|---|
| Doing Business As | MAGNOLIA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW YARBOROUGH Dentist 415-937-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |