Magnolia Smiles

NPI #1669848891 in Durant, Oklahoma

Provider Information

NPI Number: 1669848891
Entity Type: Organization
Organization Name: Magnolia Smiles
Primary Specialty: Dentist
Enumeration Date: Aug 11, 2015
Last Updated: Aug 11, 2015

Practice Location

Address: 1220 N WASHINGTON AVE
City: Durant
State: Oklahoma
ZIP Code: 74701-2120
Phone: (580) 745-5400

Authorized Official

Name: BENJAMIN TYLER HILL, DDS
Title: OWNER/DENTIST
Phone: (580) 745-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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