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1750936001
LEGACY WEST DENTAL, PLLC
PLANO, TX
NPI
1750936001
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Entity Type
Organization
Authorized Contact
JERIT T DAVIS
Manager/Owner
469-530-4168
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2019-08-05
Last Update Date
2019-08-05
Business Address
LEGACY WEST DENTAL, PLLC
6847 COMMUNICATIONS PKWY STE 720
PLANO, TX 75024-6151
Phone number: 469-530-4168
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Mailing Address
LEGACY WEST DENTAL, PLLC
6847 COMMUNICATIONS PKWY STE 720
PLANO, TX 75024-6151
Phone number: 469-530-4168
Copy
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