Mark Legan

NPI #1013281302 in Shoreview, Minnesota

Provider Information

NPI Number
1013281302
Entity Type
Individual
Name
Mark Legan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 4, 2012
Last Updated
Mar 4, 2012

Practice Location

Address
1004 GLEN PAUL CT
ZIP Code
55126-8113
Phone
(651) 490-1158

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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