MARK LEGAN

SHOREVIEW, MN
NPI1013281302
Professional NameMARK LEGAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  D8931)
Enumeration Date2012-03-04
Last Update Date2012-03-04
Business Address
-- MARK LEGAN
1004 GLEN PAUL CT
SHOREVIEW, MN 55126-8113
Phone number: 651-490-1158
Mailing Address
-- MARK LEGAN
1004 GLEN PAUL CT
SHOREVIEW, MN 55126-8113
Phone number:
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