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Organization
MAGNOLIA FAMILY DENTAL
Active
Organization
MAGNOLIA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOLTEN D.D.S. (GENERAL DENTIST/OWNER)
(972) 562-7999
Entity
Organization
Contact information
Practice address
6840 VIRGINIA PKWY, SUITE 130, MCKINNEY, TX 75071-5516
(972) 562-7999
Mailing address
6840 VIRGINIA PKWY, SUITE 130, MCKINNEY, TX 75071-5516
(972) 562-7999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21014
TX
122300000X
Dentist
25399
TX
Other
Enumeration date
01/14/2013
Last updated
05/20/2016
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