NPI | 1336523364 |
---|---|
Doing Business As | LEGACY DENTAL |
Entity Type | Organization |
Authorized Contact | JOSEPH W CLEMENTS Office Manager 956-986-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24025) |
Enumeration Date | 2015-07-20 |
Last Update Date | 2015-07-20 |