| Legacy Dental Of Desoto Pllc | |
|
834 N Hampton Rd # 102 Desoto TX 75115-4512 | |
| (832) 725-9895 | |
| Not Available |
| Full Name | Legacy Dental Of Desoto Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 834 N Hampton Rd # 102, Desoto, Texas |
| Authorized Official Name and Position | Sohail Dar (OWNER) |
| Authorized Official Contact | 4697472001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Dental Of Desoto Pllc 834 N Hampton Rd Ste 102 Desoto TX 75115-4504 Ph: (469) 747-2001 | Legacy Dental Of Desoto Pllc 834 N Hampton Rd # 102 Desoto TX 75115-4512 Ph: (832) 725-9895 |
| NPI Number | 1932662756 |
|---|---|
| Provider Enumeration Date | 04/09/2019 |
| Last Update Date | 08/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932662756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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