Magnolia Dental, LLC
NPI #1043797152 in Mitchellville, Maryland
Provider Information
- NPI Number
- 1043797152
- Entity Type
- Organization
- Organization Name
- Magnolia Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 21, 2018
- Last Updated
- Jun 17, 2019
Practice Location
- Address
- 10208 LAKE ARBOR WAY
- City
- Mitchellville
- State
- Maryland
- ZIP Code
- 20721
- Phone
- (301) 485-5463
Authorized Official
- Name
- DR. DAWN L TYLER, DDS
- Title
- DENTIST
- Phone
- (301) 485-5463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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