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Organization
TRINITY MAGNOLIA DENTAL PLLC
Active
Organization
TRINITY MAGNOLIA DENTAL PLLC
Active
Other names
Trinity Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN LOPEZ (DIRECTOR OF OPERATIONS)
(832) 648-7632
Entity
Organization
Contact information
Practice address
18640 FM 1488 RD STE I, MAGNOLIA, TX 77354-8517
(832) 648-7632
(832) 532-1904
Mailing address
507 N SAM HOUSTON PKWY E STE 565, HOUSTON, TX 77060-4021
(832) 648-7632
(832) 532-1904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21047
TX
1223G0001X
General Practice Dentistry
Primary
21047
TX
Other
Enumeration date
06/27/2018
Last updated
02/09/2021
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