| NPI | 1386867802 |
|---|---|
| Doing Business As | LEGACY PERIODONTICS AND IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | STEVE L WOLF President 248-380-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-03-10 |