| NPI | 1871295220 |
|---|---|
| Doing Business As | MAGNOLIA DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | EILEEN R CHILDERS Insurance Manager 704-790-4410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |