| NPI | 1972154607 |
|---|---|
| Doing Business As | LEGACY FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | THOMAS REED Owner/Doctor 202-744-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |