Organization
MAGNOLIA FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GANIAT A LAWAL D.M.D (PRESIDENT)
(910) 944-1646
Entity
Organization
Contact information
Practice address
121 MAGNOLIA SQUARE CT, ABERDEEN, NC 28315-2225
(910) 944-1646
Mailing address
121 MAGNOLIA SQUARE CT, ABERDEEN, NC 28315-2225
(910) 944-1646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7374
NC
Other
Enumeration date
08/09/2006
Last updated
08/22/2020
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