NPI | 1003496753 |
---|---|
Doing Business As | LEGACY ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | ALLISON WHITMAN BECKER Owner Orthodontist 469-877-5132 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-04-08 |
Last Update Date | 2021-05-06 |