Imaging Center of Magnolia Pllc

NPI #1780021956 in Magnolia, Texas

Provider Information

NPI Number: 1780021956
Entity Type: Organization
Organization Name: Imaging Center of Magnolia Pllc
Primary Specialty: Dentist
Enumeration Date: May 29, 2013
Last Updated: May 29, 2013

Practice Location

Address: 827 MAGNOLIA BLVD STE 2
Address 2: SUITE B
City: Magnolia
State: Texas
ZIP Code: 77355-8553
Phone: (281) 789-4329

Authorized Official

Name: DONNA K KOTSIOS
Title: PRACTICE ADMINISTRATOR
Phone: (281) 296-9562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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