| NPI | 1821762527 |
|---|---|
| Doing Business As | MAGNOLIA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MOLLY E BURTON Dentist 502-298-5781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |