# MAGNOLIA GROVE CITY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Dental Grove City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891308029
- **Authorized official:** JENNIFER SAMMONS (REGIONAL OPERATIONS MANAGER)
- **Authorized official phone:** (937) 203-1163

## Contact information

- **Practice address:** 2053 STRINGTOWN RD, GROVE CITY, OH 43123-2930
- **Practice address phone:** (614) 636-4081
- **Mailing address:** 2053 STRINGTOWN RD, GROVE CITY, OH 43123-2930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/27/2020
- **Last updated:** 08/27/2020