Magnolia Dental

NPI #1699277228 in Mabank, Texas

Provider Information

NPI Number: 1699277228
Entity Type: Organization
Organization Name: Magnolia Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 28, 2018
Last Updated: Feb 28, 2018

Practice Location

Address: 507 N 3RD ST
City: Mabank
State: Texas
ZIP Code: 75147-8328
Phone: (903) 603-4406

Authorized Official

Name: DR. GERARD THOMAS MACY, DDS
Title: DENTIST
Phone: (903) 603-4406

Specialties & Taxonomy Codes

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

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