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Magnolia Family Dental Care Pllc

NPI #1144795121 in Tulsa, Oklahoma

Provider Information

NPI Number
1144795121
Entity Type
Organization
Organization Name
Magnolia Family Dental Care Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 5, 2018
Last Updated
Oct 5, 2018

Practice Location

Address
6939 S 66TH EAST AVE
City
Tulsa
State
Oklahoma
ZIP Code
74133-1778
Phone
(918) 492-3771

Authorized Official

Name
MELISSA JACKSON
Title
OWNER/DENTIST
Phone
(918) 492-3771

Specialties & Taxonomy Codes

Specialty
Dentist - General Practice — General Practice

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