| Legacy Park Dental | |
|
1001 Ne Green Oaks Blvd 129 Arlington TX 76006-2318 | |
| (817) 789-4480 | |
| Not Available |
| Full Name | Legacy Park Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1001 Ne Green Oaks Blvd, Arlington, Texas |
| Authorized Official Name and Position | Jacki Dang (PRACTICE MANAGER) |
| Authorized Official Contact | 8177033791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Park Dental 1001 Ne Green Oaks Blvd 129 Arlington TX 76006-2318 Ph: () - | Legacy Park Dental 1001 Ne Green Oaks Blvd 129 Arlington TX 76006-2318 Ph: (817) 789-4480 |
| NPI Number | 1093119331 |
|---|---|
| Provider Enumeration Date | 10/15/2014 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093119331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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