Organization
MAGNOLIA FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GUFFEY DDS (OWNER)
(405) 455-9057
Entity
Organization
Contact information
Practice address
101 N DOUGLAS BLVD STE T, MIDWEST CITY, OK 73130-3328
(405) 455-9057
Mailing address
101 N DOUGLAS BLVD STE T, MIDWEST CITY, OK 73130-3328
(405) 455-9057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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