Individual provider · Type 1 NPI

Magnolia Pedraza, DMD, M.S.

Periodontics · Forsyth, IL

NPI number 1689746281 Active

Practice location

241 W Weaver Rd, Suite 220
Forsyth, IL 62535-9762

Call (217) 876-0547 Map

Fax (217) 876-0601

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X021.001709 019.02272 (IL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

12 other providers at this address

About NPI 1689746281

Magnolia Pedraza, DMD, M.S.'s National Provider Identifier is 1689746281, issued on Nov 15, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Forsyth, IL. The record was last updated on Jul 8, 2007.