Heritage Legacy Dental Care, INC
NPI #1659819738 in N Little Rock, Arkansas
Provider Information
- NPI Number
- 1659819738
- Entity Type
- Organization
- Organization Name
- Heritage Legacy Dental Care, INC
- Primary Specialty
- Dentist
- Enumeration Date
- Feb 8, 2017
- Last Updated
- Feb 8, 2017
Practice Location
- Address
- 7 EDENWOOD LN
- City
- N Little Rock
- State
- Arkansas
- ZIP Code
- 72116-5105
- Phone
- (501) 771-4500
Authorized Official
- Name
- DR. WADE ROBERTSON, DDS
- Title
- PRESIDENT
- Phone
- (501) 771-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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