| NPI | 1588830483 |
|---|---|
| Doing Business As | LEGACY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | AMANDA J. DARLING Owner 636-227-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2008005853) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |