| Magnolia Family Dentistry | |
|
101 N Douglas Blvd Ste T Midwest City OK 73130-3328 | |
| (405) 455-9057 | |
| Not Available |
| Full Name | Magnolia Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 N Douglas Blvd Ste T, Midwest City, Oklahoma |
| Authorized Official Name and Position | Leaha Nels (OWNER) |
| Authorized Official Contact | 4053176471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Dentistry 101 N Douglas Blvd Ste T Midwest City OK 73130-3328 Ph: (405) 455-9057 | Magnolia Family Dentistry 101 N Douglas Blvd Ste T Midwest City OK 73130-3328 Ph: (405) 455-9057 |
| NPI Number | 1801311709 |
|---|---|
| Provider Enumeration Date | 08/11/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801311709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6794 (Oklahoma) | Primary |
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