| Legacy Dental Pc | |
|
409 Pond St Ste 7 Braintree MA 02184-6853 | |
| (781) 843-7570 | |
| (781) 843-3574 |
| Full Name | Legacy Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 409 Pond St Ste 7, Braintree, Massachusetts |
| Authorized Official Name and Position | Earl R Marrow (DENTIST) |
| Authorized Official Contact | 7818437570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Dental Pc 409 Pond St Ste 7 Braintree MA 02184-6853 Ph: (781) 843-7570 | Legacy Dental Pc 409 Pond St Ste 7 Braintree MA 02184-6853 Ph: (781) 843-7570 |
| NPI Number | 1336744127 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336744127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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