| Legacy Dental Llc | |
|
5127 Zuck Rd Erie PA 16506-4941 | |
| (814) 746-3327 | |
| Not Available |
| Full Name | Legacy Dental Llc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 5127 Zuck Rd, Erie, Pennsylvania |
| Authorized Official Name and Position | Samer Mansour (DENTIST) |
| Authorized Official Contact | 8147463327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Dental Llc 5127 Zuck Rd Erie PA 16506-4941 Ph: (814) 746-3327 | Legacy Dental Llc 5127 Zuck Rd Erie PA 16506-4941 Ph: (814) 746-3327 |
| NPI Number | 1679175541 |
|---|---|
| Provider Enumeration Date | 11/14/2020 |
| Last Update Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679175541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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