| Magnolia Smiles | |
|
1220 N Washington Ave Durant OK 74701-2120 | |
| (580) 745-5400 | |
| Not Available |
| Full Name | Magnolia Smiles |
|---|---|
| Speciality | Dentist |
| Location | 1220 N Washington Ave, Durant, Oklahoma |
| Authorized Official Name and Position | Benjamin Tyler Hill (OWNER/DENTIST) |
| Authorized Official Contact | 5807455400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Smiles 1220 N Washington Ave Durant OK 74701-2120 Ph: (580) 745-5400 | Magnolia Smiles 1220 N Washington Ave Durant OK 74701-2120 Ph: (580) 745-5400 |
| NPI Number | 1669848891 |
|---|---|
| Provider Enumeration Date | 08/11/2015 |
| Last Update Date | 08/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669848891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6270 (Oklahoma) | Primary |
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