| NPI | 1477851582 |
|---|---|
| Doing Business As | LEGACY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANIEL ELENES President 909-884-0369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory (Licence: CA 30715) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |