Magnolia Family Dentistry of Columbus, Inc.
NPI #1043533623 in Columbus, Mississippi
Provider Information
- NPI Number
- 1043533623
- Entity Type
- Organization
- Organization Name
- Magnolia Family Dentistry of Columbus, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 10, 2010
- Last Updated
- Mar 10, 2010
Practice Location
- Address
- 2401 5TH ST N STE 2
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705-2005
- Phone
- (662) 328-8001
Authorized Official
- Name
- DR. DONNIE J. RICHARDSON JR., DMD
- Title
- OWNER/CEO
- Phone
- (662) 328-8001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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