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 |