| NPI | 1376838136 |
|---|---|
| Doing Business As | LEGACY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G. HEFFELFINGER Dentist 972-563-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-11-02 |