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Organization
MAGNOLIA FAMILY DENTAL AND ORTHODONTICS PLLC
Active
Organization
MAGNOLIA FAMILY DENTAL AND ORTHODONTICS PLLC
Active
Other names
Magnolia Family Dental and Orthodontic
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTA REYES (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
10226 FM 1488 SUITE 200, MAGNOLIA, TX 77354
(281) 336-9337
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(281) 336-9337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
04/26/2023
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