Organization
MAGNOLIA CENTERVILLE LLC
Active
Other names
Magnolia Dental Centerville
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN KOENEMAN (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
(380) 203-3592
Entity
Organization
Contact information
Practice address
401 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-4753
(937) 435-5073
Mailing address
401 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-4753
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2020
Last updated
09/04/2025
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