Legacy Dental of Glen Oaks

NPI #1962881748 in Dallas, Texas

Provider Information

NPI Number: 1962881748
Entity Type: Organization
Organization Name: Legacy Dental of Glen Oaks
Primary Specialty: Dentist - General Practice
Enumeration Date: May 26, 2015
Last Updated: May 26, 2015

Practice Location

Address: 4767 VISTA WOOD BLVD
Address 2: STE 110
City: Dallas
State: Texas
ZIP Code: 75232
Phone: (214) 321-8383

Authorized Official

Name: DR. MICHAEL GERALD HEFFELFINGER, DDS
Title: OWNER
Phone: (972) 563-8383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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