Legend Dental Pllc

NPI #1003111006 in Austin, Texas

Provider Information

NPI Number: 1003111006
Entity Type: Organization
Organization Name: Legend Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 21, 2011
Last Updated: Apr 26, 2023

Practice Location

Address: 2525 W ANDERSON LN
Address 2: BUILDING 3 SUITE 300
City: Austin
State: Texas
ZIP Code: 78757-1180
Phone: (972) 869-3789

Authorized Official

Name: MARY PU
Title: CFO
Phone: (972) 869-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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