NPI | 1609052042 |
---|---|
Doing Business As | LEGACY SMILES |
Entity Type | Organization |
Authorized Contact | PAUL GEBHART Owner Doctor 623-218-6638 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2008-01-16 |
Last Update Date | 2010-09-07 |