| NPI | 1477894442 |
|---|---|
| Doing Business As | LEGACY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JEFFREY C. GRABIEL Owner/Dentist 248-644-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 012169) |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2019-04-10 |