| Magnolia Dental, Llc | |
|
10208 Lake Arbor Way Mitchellville MD 20721 | |
| (301) 485-5463 | |
| Not Available |
| Full Name | Magnolia Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10208 Lake Arbor Way, Mitchellville, Maryland |
| Authorized Official Name and Position | Dawn L Tyler (DENTIST) |
| Authorized Official Contact | 3014855463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Dental, Llc 10208 Lake Arbor Way Mitchellville MD 20721-3113 Ph: (301) 485-5463 | Magnolia Dental, Llc 10208 Lake Arbor Way Mitchellville MD 20721 Ph: (301) 485-5463 |
| NPI Number | 1043797152 |
|---|---|
| Provider Enumeration Date | 07/21/2018 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043797152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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