NPI | 1063043396 |
---|---|
Doing Business As | LEGACY PURE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | FIELD HARRISON Owner 214-821-6468 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-01-27 |
Last Update Date | 2020-02-05 |