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Organization
MAGNOLIA FAMILY DENTISTRY PLLC
Active
Organization
MAGNOLIA FAMILY DENTISTRY PLLC
Active
Other names
My Dental of Magnolia
Organization subpart
No
Provider details
NPI number
Authorized official
MUJIB MUQUIM ASHRAFI (OWNER)
(713) 457-3445
Entity
Organization
Contact information
Practice address
610 MELTON ST STE 300, MAGNOLIA, TX 77354-2366
(816) 878-5624
Mailing address
15318 AMESBURY LN, SUGAR LAND, TX 77478-4180
(816) 878-5624
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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