Organization
MAGNOLIA SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN TYLER HILL DDS (OWNER/DENTIST)
(580) 745-5400
Entity
Organization
Contact information
Practice address
1220 N WASHINGTON AVE, DURANT, OK 74701-2120
(580) 745-5400
Mailing address
1220 N WASHINGTON AVE, DURANT, OK 74701-2120
(580) 745-5400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6270
OK
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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