Organization
MAGNOLIA FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA M JORDAN DMD (OWNER)
(706) 619-1733
Entity
Organization
Contact information
Practice address
440 WESTHAVEN CT, GROVETOWN, GA 30813-0760
(706) 619-1733
(706) 619-1755
Mailing address
440 WESTHAVEN CT, GROVETOWN, GA 30813-0760
(706) 619-1733
(706) 619-1755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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