| NPI | 1982288874 |
|---|---|
| Doing Business As | LEGACY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA BRASHER Dentist 405-445-4016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-11-01 |