| NPI | 1912719956 |
|---|---|
| Doing Business As | MAGNOLIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | MAHA KASSIM Dentist 586-258-9352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |