Legacy Dentistry | |
151 Walton Way Suite 102 Midlothian TX 76065-8009 | |
(972) 723-1148 | |
(972) 723-1035 |
Full Name | Legacy Dentistry |
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Speciality | Dentist - General Practice |
Location | 151 Walton Way, Midlothian, Texas |
Authorized Official Name and Position | Toni L Engram (GENERAL DENTIST) |
Authorized Official Contact | 9727231148 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Legacy Dentistry 151 Walton Way Suite 102 Midlothian TX 76065-8009 Ph: (972) 723-1148 | Legacy Dentistry 151 Walton Way Suite 102 Midlothian TX 76065-8009 Ph: (972) 723-1148 |
NPI Number | 1679865836 |
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Provider Enumeration Date | 05/06/2011 |
Last Update Date | 05/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679865836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 23952 (Texas) | Primary |
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