| Magnolia Family Dentistry, Pllc | |
|
101 N Douglas Blvd Ste T Midwest City OK 73130-3328 | |
| (405) 455-9057 | |
| Not Available |
| Full Name | Magnolia Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 N Douglas Blvd Ste T, Midwest City, Oklahoma |
| Authorized Official Name and Position | Matthew Guffey (OWNER) |
| Authorized Official Contact | 4054559057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Dentistry, Pllc 101 N Douglas Blvd Ste T Midwest City OK 73130-3328 Ph: (405) 455-9057 | Magnolia Family Dentistry, Pllc 101 N Douglas Blvd Ste T Midwest City OK 73130-3328 Ph: (405) 455-9057 |
| NPI Number | 1740633353 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 07/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740633353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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