Magnolia Dental Gps Pllc

NPI #1366160228 in Mabank, Texas

Provider Information

NPI Number: 1366160228
Entity Type: Organization
Organization Name: Magnolia Dental Gps Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 17, 2022
Last Updated: Aug 17, 2022

Practice Location

Address: 507 N 3RD ST
City: Mabank
State: Texas
ZIP Code: 75147-8328
Phone: (903) 829-4664

Authorized Official

Name: WILLIAM LITTLE
Title: CO-OWNER
Phone: (870) 243-4406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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