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Organization
MAGNOLIA DENTAL CENTER
Active
Organization
MAGNOLIA DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON FREDERICK WEINLE DDS (OWNER)
(713) 926-6008
Entity
Organization
Contact information
Practice address
910 S WAYSIDE DR, SUITE 300, HOUSTON, TX 77023-3428
(713) 926-6008
(713) 926-6051
Mailing address
910 S WAYSIDE, SUITE 300, HOUSTON, TX 77023
(713) 926-6008
(713) 926-6051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008692801
—
TX
Enumeration date
08/01/2008
Last updated
08/01/2008
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