Organization
MAGNOLIA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SMITH JESSICA SMITH (OWNER)
(804) 382-6093
Entity
Organization
Contact information
Practice address
5161 CRAIG RATH BLVD, MIDLOTHIAN, VA 23112-6258
(804) 744-9051
(804) 744-9053
Mailing address
5161 CRAIG RATH BLVD, MIDLOTHIAN, VA 23112-6258
(804) 744-9051
(804) 744-9053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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