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Organization

MAGNOLIA DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAWN L TYLER DDS (DENTIST)
(301) 485-5463
Entity
Organization

Contact information

Practice address
10208 LAKE ARBOR WAY, MITCHELLVILLE, MD 20721
(301) 485-5463
Mailing address
10208 LAKE ARBOR WAY, MITCHELLVILLE, MD 20721-3113
(301) 485-5463

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/21/2018
Last updated
06/17/2019
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