Legacy Dental, P.c.
NPI #1811283302 in Des Moines, Iowa
Provider Information
- NPI Number
- 1811283302
- Entity Type
- Organization
- Organization Name
- Legacy Dental, P.c.
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Jun 22, 2011
- Last Updated
- Nov 3, 2011
Practice Location
- Address
- 4409 SW 9TH ST
- City
- Des Moines
- State
- Iowa
- ZIP Code
- 50315-3909
- Phone
- (515) 285-8888
Authorized Official
- Name
- DR. JEFFREY WAYNE PURK, D.D.S.
- Title
- OWNER
- Phone
- (515) 285-8888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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