| Magnolia Family Dental | |
|
535 Tovrea Rd Ste 104 Alvin TX 77511-2976 | |
| (281) 813-4239 | |
| Not Available |
| Full Name | Magnolia Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 535 Tovrea Rd Ste 104, Alvin, Texas |
| Authorized Official Name and Position | Angela Grace Marteeny (OWNER) |
| Authorized Official Contact | 2818134239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Dental 535 Tovrea Rd Ste 104 Alvin TX 77511-2976 Ph: (281) 813-4239 | Magnolia Family Dental 535 Tovrea Rd Ste 104 Alvin TX 77511-2976 Ph: (281) 813-4239 |
| NPI Number | 1326705021 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 04/04/2022 |
| Certification Date | 04/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326705021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 261QD0000X | Clinic/center - Dental | () | Secondary |
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