MAGNOLIA DENTAL NPI 1497912661

NPI Information

MAGNOLIA DENTAL is a general practice dentist in Fort Worth, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MAGNOLIA DENTAL NPI is 1497912661. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6758 MCCART AVE
FORT WORTH, TX
ZIP 76133-357
Phone: (817) 292-6203
Fax: (817) 292-6279

The provider's authorized official is Tin Truong Tran .
The authorized official title is President and has the following contact phone number (817) 292-6203.

The enumeration date for this NPI number is 5/16/2008 and was last updated on 5/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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