| NPI | 1306354089 |
|---|---|
| Doing Business As | LEGACY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JULIE LOYA Business Manager 650-948-0786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |