Organization
MAGNOLIA DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS WEBSTER QUARTANO D.D.S. (DENTIST/OWNER)
(985) 626-3348
Entity
Organization
Contact information
Practice address
6061 PINNACLE PARKWAY, COVINGTON, LA 70433
(985) 626-3348
Mailing address
1204 RUE DEGAS, MANDEVILLE, LA 70471-3056
(985) 626-3348
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5979
LA
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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