Legacy Dental Care LLC

NPI #1336683036 in Blaine, Minnesota

Provider Information

NPI Number
1336683036
Entity Type
Organization
Organization Name
Legacy Dental Care LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 14, 2016
Last Updated
Dec 14, 2016

Practice Location

Address
12265 CENTRAL AVE NE
City
Blaine
ZIP Code
55434-3961
Phone
(763) 757-1323

Authorized Official

Name
DENNIS L PARVEY, DDS
Title
DENTIST
Phone
(763) 757-1323

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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