Organization · Type 2 NPI

Magnolia Smiles of Wiggins PLLC

Dental Clinic/Center · Wiggins, MS

NPI number 1649855115 Active

Practice location

1050 Frontage Dr W Ste C
Wiggins, MS 39577-8357

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1649855115

Magnolia Smiles of Wiggins PLLC's National Provider Identifier is 1649855115, issued on Mar 16, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Wiggins, MS. The record was last updated on Oct 8, 2021.