| NPI | 1619494911 |
|---|---|
| Doing Business As | LEGACY SMILES |
| Entity Type | Organization |
| Authorized Contact | BEN EDMUNDS Owner 214-618-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |