| Magnolia Creek Dentistry | |
|
1940 W League City Pkwy Ste 170 League City TX 77573-7338 | |
| (281) 241-9114 | |
| Not Available |
| Full Name | Magnolia Creek Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1940 W League City Pkwy Ste 170, League City, Texas |
| Authorized Official Name and Position | Felicia Pranata (MANAGER) |
| Authorized Official Contact | 7135305168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Creek Dentistry 1131 Juniper Canyon Ln Houston TX 77062-2059 Ph: (713) 530-5168 | Magnolia Creek Dentistry 1940 W League City Pkwy Ste 170 League City TX 77573-7338 Ph: (281) 241-9114 |
| NPI Number | 1447990445 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447990445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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