Legacy Dental Group

NPI 1215953161 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1215953161
Enumeration Date 07/14/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LOUIS LOUIS
Position DDS
Phone (602) 993-4200
Fax (602) 993-4222
Practice Location
18205 N 51ST AVE STE 101
GLENDALE AZ, 85308-1491, US
Phone (602) 993-4200
Fax (602) 993-4222
Business Location
POC MANAGEMENT LLC
3000 W WARNER AVE
SANTA ANA CA, 92704, US
Phone
Fax
Toxanomy
Taxonomy Code 332900000X
License State Arizona
License Number D4729
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According to our database, Legacy Dental Group NPI is 1215953161, taxonomy code is 332900000X and license number is D4729, license state is located at Arizona. Legacy Dental Group physically located at 18205 N 51st Ave Ste 101, Glendale AZ, 85308-1491. NPI Number 1033115704 has the healthcare provider type.

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1215953161 NPI number is provided on an as is basis without warranty of any kind. 1215953161 is maintained by the National Plan & Provider Enumeration System. The contents of Legacy Dental Group are for informational purposes only.