Organization
MAGNOLIA FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY L. GARNER DMD (OWNER)
(601) 783-2361
Entity
Organization
Contact information
Practice address
215 MAGNOLIA ST, MAGNOLIA, MS 39652-2827
(601) 783-2361
Mailing address
4358 LINCOLN ROAD EXT STE 20, HATTIESBURG, MS 39402-3275
(601) 271-8710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MS
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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