| Legacy Dental Of Glen Oaks | |
|
4767 Vista Wood Blvd Ste 110 Dallas TX 75232 | |
| (214) 321-8383 | |
| Not Available |
| Full Name | Legacy Dental Of Glen Oaks |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4767 Vista Wood Blvd, Dallas, Texas |
| Authorized Official Name and Position | Michael Gerald Heffelfinger (OWNER) |
| Authorized Official Contact | 9725638383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Dental Of Glen Oaks 4767 Vista Wood Blvd Ste 110 Dallas TX 75232 Ph: () - | Legacy Dental Of Glen Oaks 4767 Vista Wood Blvd Ste 110 Dallas TX 75232 Ph: (214) 321-8383 |
| NPI Number | 1962881748 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962881748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25393 (Texas) | Primary |
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