Organization
MAGNOLIA FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER A WRIGHT DMD (MBR)
(662) 369-2063
Entity
Organization
Contact information
Practice address
513 W COMMERCE ST, ABERDEEN, MS 39730-2543
(662) 369-2063
(662) 369-2076
Mailing address
513 W COMMERCE ST, ABERDEEN, MS 39730-2543
(662) 369-2063
(662) 369-2076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1860-79
MS
1223G0001X
General Practice Dentistry
3463-08
MS
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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