| NPI | 1700525078 |
|---|---|
| Doing Business As | LEGACY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER NGUYEN Owner 507-437-8208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2023-08-11 |