Magnolia Family Dental

NPI #1689911471 in Mckinney, Texas

Provider Information

NPI Number: 1689911471
Entity Type: Organization
Organization Name: Magnolia Family Dental
Primary Specialty: Dentist
Enumeration Date: Jan 14, 2013
Last Updated: May 20, 2016

Practice Location

Address: 6840 VIRGINIA PKWY
Address 2: SUITE 130
City: Mckinney
State: Texas
ZIP Code: 75071-5516
Phone: (972) 562-7999

Authorized Official

Name: MICHAEL BOLTEN, D.D.S.
Title: GENERAL DENTIST/OWNER
Phone: (972) 562-7999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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