| Legacy Dental Care | |
|
158 2nd St Los Altos CA 94022-2818 | |
| (650) 948-0786 | |
| Not Available |
| Full Name | Legacy Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 158 2nd St, Los Altos, California |
| Authorized Official Name and Position | Julie Loya (BUSINESS MANAGER) |
| Authorized Official Contact | 6509480786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Dental Care 158 2nd St Los Altos CA 94022-2818 Ph: (650) 948-0786 | Legacy Dental Care 158 2nd St Los Altos CA 94022-2818 Ph: (650) 948-0786 |
| NPI Number | 1306354089 |
|---|---|
| Provider Enumeration Date | 01/17/2018 |
| Last Update Date | 01/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306354089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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