Legacy Dental Group

NPI #1215953161 in Glendale, Arizona

Provider Information

NPI Number
1215953161
Entity Type
Organization
Organization Name
Legacy Dental Group
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jul 14, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
18205 N 51ST AVE STE 101
State
Arizona
ZIP Code
85308-1491
Phone
(602) 993-4200

Authorized Official

Name
LOUIS CORE
Title
DDS
Phone
(602) 993-4200

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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