| NPI | 1063803823 |
|---|---|
| Doing Business As | LEGACY ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | WADE R HIRSCHMAN President 303-526-1502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 9779) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |