LEGACY DENTAL LLC

FORT WAYNE, IN
NPI1083704019
Former Legal Business NameUEBER & FRIEDERICH DENTISTRY
Entity TypeOrganization
Authorized ContactNATHAN JAMES BOJRAB
CEO
260-434-1133
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12010440)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: IN  12008943)
1223G0001X Dentist, General Practice
(Licence: IN  12009422)
Enumeration Date2006-10-13
Last Update Date2020-08-17
Business Address
LEGACY DENTAL LLC
7215 ENGLE RD.
FORT WAYNE, IN 46804
Phone number: 260-434-1133
Mailing Address
LEGACY DENTAL LLC
7215 ENGLE RD.
FORT WAYNE, IN 46804
Phone number: 260-434-1133