Organization
MAGNOLIA DENTAL CENTER OF CLEVELAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH WEILER DDS (OWNER)
(770) 284-1395
Entity
Organization
Contact information
Practice address
2190 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3839
(423) 476-3307
Mailing address
1212 DODDS AVE, CHATTANOOGA, TN 37404-4754
(423) 206-9641
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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