| NPI | 1487175410 |
|---|---|
| Doing Business As | TUSTIN LEGACY DENTISTRY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LINDA M VANSON Owner 714-294-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-02-01 |