| Magnolia Dental | |
|
9625 Westview Dr Coral Springs FL 33076-2513 | |
| (954) 227-1417 | |
| (954) 227-0197 |
| Full Name | Magnolia Dental |
|---|---|
| Speciality | Dentist |
| Location | 9625 Westview Dr, Coral Springs, Florida |
| Authorized Official Name and Position | Ralph C Collazo (DR) |
| Authorized Official Contact | 9542271417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Dental 9625 Westview Dr Coral Springs FL 33076-2513 Ph: (954) 227-1417 | Magnolia Dental 9625 Westview Dr Coral Springs FL 33076-2513 Ph: (954) 227-1417 |
| NPI Number | 1558536706 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558536706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN0012295 (Florida) | Primary |
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