| Magnolia Dental Llc | |
|
6061 Pinnacle Parkway Covington LA 70433 | |
| (985) 626-3348 | |
| Not Available |
| Full Name | Magnolia Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 6061 Pinnacle Parkway, Covington, Louisiana |
| Authorized Official Name and Position | Ross Webster Quartano (DENTIST/OWNER) |
| Authorized Official Contact | 9856263348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Dental Llc 1204 Rue Degas Mandeville LA 70471-3056 Ph: (985) 626-3348 | Magnolia Dental Llc 6061 Pinnacle Parkway Covington LA 70433 Ph: (985) 626-3348 |
| NPI Number | 1245676568 |
|---|---|
| Provider Enumeration Date | 05/14/2013 |
| Last Update Date | 05/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245676568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5979 (Louisiana) | Primary |
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