| Magnolia Dentistry, Llc | |
|
70 Main St Ste 100 North Andover MA 01845-2427 | |
| (617) 959-4943 | |
| Not Available |
| Full Name | Magnolia Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 70 Main St Ste 100, North Andover, Massachusetts |
| Authorized Official Name and Position | Yunji Lee (MEMBER) |
| Authorized Official Contact | 6179594943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Dentistry, Llc 70 Main St Ste 100 North Andover MA 01845-2587 Ph: (978) 965-4315 | Magnolia Dentistry, Llc 70 Main St Ste 100 North Andover MA 01845-2427 Ph: (617) 959-4943 |
| NPI Number | 1831691906 |
|---|---|
| Provider Enumeration Date | 03/05/2018 |
| Last Update Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831691906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN1856612 (Massachusetts) | Primary |
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