Magnolia Modern Dentistry, PC
NPI #1902644461 in Magnolia, Texas
Provider Information
- NPI Number
- 1902644461
- Entity Type
- Organization
- Organization Name
- Magnolia Modern Dentistry, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 18, 2024
- Last Updated
- Jul 18, 2024
Practice Location
Authorized Official
- Name
- JAMES DE VERA
- Title
- OWNER
- Phone
- (832) 552-1559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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