| Magnolia City Dental | |
|
2425 W. University Blvd. Ste. 102 Durant OK 74701 | |
| (580) 924-3330 | |
| (580) 924-3339 |
| Full Name | Magnolia City Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2425 W. University Blvd., Durant, Oklahoma |
| Authorized Official Name and Position | Casey A Roberts (OWNER/DENTIST) |
| Authorized Official Contact | 5809243330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia City Dental 2425 W. University Blvd. Ste. 102 Durant OK 74701 Ph: (580) 924-3330 | Magnolia City Dental 2425 W. University Blvd. Ste. 102 Durant OK 74701 Ph: (580) 924-3330 |
| NPI Number | 1760664015 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 02/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760664015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5808 (Oklahoma) | Primary |
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