| NPI | 1275834483 |
|---|---|
| Doing Business As | LEGACY RANCH DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEFFREY OSBORNE Owner/Dental Provider 972-335-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |