Pedraza, Magnolia

Pedraza, Magnolia is an sole proprietor health care provider with primary practice located at 241 W Weaver Rd Suite 220, Forsyth IL 62535-9762. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Pedraza, Magnolia can be contacted via phone (217) 876-0547.

Contact Information

Primary practice address
241 W Weaver Rd Suite 220 Forsyth IL 62535-9762
Phone: (217) 876-0547
Fax: (217) 876-0601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 021.001709 019.02272 Illinois

Profile Details

NPI number 1689746281
LBN Legal business name Pedraza, Magnolia
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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