| NPI | 1306691605 |
|---|---|
| Doing Business As | LEGACY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MITCHELL AARON WECHSLER Owner 805-527-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |