Magruder

NPI #1164801544 in Galveston, Texas

Provider Information

NPI Number: 1164801544
Entity Type: Organization
Organization Name: Magruder
Primary Specialty: Dentist - General Practice
Enumeration Date: May 19, 2015
Last Updated: May 19, 2015

Practice Location

Address: 3314 AVENUE O
City: Galveston
State: Texas
ZIP Code: 77550-6712
Phone: (409) 762-4522

Authorized Official

Name: JEREMY MAGRUDER, DDS
Title: OWNER
Phone: (409) 762-4522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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