Legacy Dental Group Pllc
NPI #1922359744 in Silverdale, Washington
Provider Information
- NPI Number
- 1922359744
- Entity Type
- Organization
- Organization Name
- Legacy Dental Group Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 20, 2012
- Last Updated
- Sep 20, 2012
Practice Location
- Address
- 9951 MICKELBERRY RD NW
- Address 2
- SUITE #215
- City
- Silverdale
- State
- Washington
- ZIP Code
- 98383-8309
- Phone
- (360) 692-9701
Authorized Official
- Name
- DR. BRIAN V KERR, DMD
- Title
- OWNER
- Phone
- (253) 584-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - General Practice — General Practice |
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