IndividualActive
Magnolia Pedraza, D.M.D., M.S.
NPI 1689746281 · Periodontics · Forsyth, IL
Provider details
- NPI number
- 1689746281
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D., M.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 021.001709 019.02272 (IL)
Specialties & taxonomies
Dental Providers
Practice location
241 W Weaver Rd
Suite 220
Forsyth, IL 62535-9762
Phone: (217) 876-0547
Fax: (217) 876-0601
Approximate (ZIP-level) locationGet directions
Mailing address
241 W Weaver Rd
Forsyth, IL 62535-9762
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.