| Magnolia Family Dental | |
|
6840 Virginia Pkwy Suite 130 Mckinney TX 75071-5516 | |
| (972) 562-7999 | |
| Not Available |
| Full Name | Magnolia Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 6840 Virginia Pkwy, Mckinney, Texas |
| Authorized Official Name and Position | Michael Bolten (GENERAL DENTIST/OWNER) |
| Authorized Official Contact | 9725627999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Dental 6840 Virginia Pkwy Suite 130 Mckinney TX 75071-5516 Ph: (972) 562-7999 | Magnolia Family Dental 6840 Virginia Pkwy Suite 130 Mckinney TX 75071-5516 Ph: (972) 562-7999 |
| NPI Number | 1689911471 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 05/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689911471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21014 (Texas) | Primary |
| 122300000X | Dentist | 25399 (Texas) | Secondary |
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