LEGACY DENTAL GROUP

EDMOND, OK
NPI1831587575
Entity TypeOrganization
Authorized ContactASHLEY DUSSAULT
Office Manager
405-513-6630
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  OK4913)
Additional Taxonomies122300000X Dentist
(Licence: OK  Ok6256)
Enumeration Date2015-01-05
Last Update Date2015-01-07
Business Address
LEGACY DENTAL GROUP
3901 E COVELL
EDMOND, OK 73034
Phone number: 405-513-6630
Mailing Address
LEGACY DENTAL GROUP
3901 E COVELL
EDMOND, OK 73034
Phone number: 405-513-6630