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Organization
MAGNOLIA CENTERVILLE LLC
Active
Organization
MAGNOLIA CENTERVILLE LLC
Active
Other names
Magnolia Dental Centerville
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN KOENEMAN (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
(380) 203-3592
Entity
Organization
Contact information
Practice address
401 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-4753
(937) 435-5073
Mailing address
401 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-4753
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/27/2020
Last updated
09/04/2025
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