| NPI | 1679865836 |
|---|---|
| Other Name | LEGACY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TONI L ENGRAM General Dentist 972-723-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23952) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-05-06 |