| Legend Dental & Orthodontics | |
|
1013 W University Ave Ste 345 Georgetown TX 78628-5345 | |
| (512) 869-4850 | |
| (512) 869-8485 |
| Full Name | Legend Dental & Orthodontics |
|---|---|
| Speciality | Dentist |
| Location | 1013 W University Ave Ste 345, Georgetown, Texas |
| Authorized Official Name and Position | Mary Pu (VP OF FINANCE) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legend Dental & Orthodontics Po Box 734753 Dallas TX 75373-4753 Ph: (972) 869-3789 | Legend Dental & Orthodontics 1013 W University Ave Ste 345 Georgetown TX 78628-5345 Ph: (512) 869-4850 |
| NPI Number | 1699042259 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699042259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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