| Magnolia Dental Center | |
|
910 S Wayside Dr Suite 300 Houston TX 77023-3428 | |
| (713) 926-6008 | |
| (713) 926-6051 |
| Full Name | Magnolia Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 910 S Wayside Dr, Houston, Texas |
| Authorized Official Name and Position | Byron Frederick Weinle (OWNER) |
| Authorized Official Contact | 7139266008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Dental Center 910 S Wayside Suite 300 Houston TX 77023 Ph: (713) 926-6008 | Magnolia Dental Center 910 S Wayside Dr Suite 300 Houston TX 77023-3428 Ph: (713) 926-6008 |
| NPI Number | 1831355536 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831355536 | NPI | - | NPPES |
| 008692801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13962 (Texas) | Primary |
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