| NPI | 1104939198 |
|---|---|
| Doing Business As | LEGACY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MARY BONEY Dir Hr/Professional Relations 281-296-8600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-08-20 |