Magnolia Park Dental, Pllc

NPI #1689931735 in Coppell, Texas

Provider Information

NPI Number
1689931735
Entity Type
Organization
Organization Name
Magnolia Park Dental, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 13, 2012
Last Updated
Apr 13, 2012

Practice Location

Address
651 N DENTON TAP RD
Address 2
SUITE 170
State
Texas
ZIP Code
75019-2007
Phone
(972) 899-4900

Authorized Official

Name
BRADY JONATHAN CAMP, DDS
Title
OWNER
Phone
(972) 899-4900

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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