| Magnolia Family Dental | |
|
2561 3rd St Ste B Ceres CA 95307-3230 | |
| (209) 538-9297 | |
| Not Available |
| Full Name | Magnolia Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2561 3rd St Ste B, Ceres, California |
| Authorized Official Name and Position | Mital Patel (PRESIDENT) |
| Authorized Official Contact | 5103781681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Dental 2561 3rd St Ste B Ceres CA 95307-3230 Ph: (209) 538-9297 | Magnolia Family Dental 2561 3rd St Ste B Ceres CA 95307-3230 Ph: (209) 538-9297 |
| NPI Number | 1720517626 |
|---|---|
| Provider Enumeration Date | 06/06/2017 |
| Last Update Date | 12/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720517626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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