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 |