Organization
MAGNOLIA DENTAL GPS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LITTLE (CO-OWNER)
(870) 243-4406
Entity
Organization
Contact information
Practice address
507 N 3RD ST, MABANK, TX 75147-8328
(903) 829-4664
Mailing address
100 E HUNTINGTON AVE STE E, JONESBORO, AR 72401-2900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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