Organization
MAGNOLIA ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY TOUPS (OFFICE MANAGER)
(601) 271-8710
Entity
Organization
Contact information
Practice address
4348 LINCOLN ROAD, HATTIESBURG, MS 39402
(601) 271-8710
Mailing address
4348 LINCOLN ROAD, HATTIESBURG, MS 39402
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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