| Magnolia Canal Winchester Llc | |
|
6160 Gender Rd Canal Winchester OH 43110-2054 | |
| (614) 591-3522 | |
| Not Available |
| Full Name | Magnolia Canal Winchester Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6160 Gender Rd, Canal Winchester, Ohio |
| Authorized Official Name and Position | Jennifer Sammons (REGIONAL OPERATIONS MANAGER) |
| Authorized Official Contact | 9372031163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Canal Winchester Llc 6160 Gender Rd Canal Winchester OH 43110-2054 Ph: () - | Magnolia Canal Winchester Llc 6160 Gender Rd Canal Winchester OH 43110-2054 Ph: (614) 591-3522 |
| NPI Number | 1649883018 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649883018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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