| NPI | 1275972150 |
|---|---|
| Doing Business As | LEGACY TRAILS DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROSA BECK President 214-458-0862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 25789) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |