| Legend Dental & Orthodontics | |
|
2525 W Anderson Ln Building 3 Suite 300 Austin TX 78757-1180 | |
| (972) 869-3789 | |
| Not Available |
| Full Name | Legend Dental & Orthodontics |
|---|---|
| Speciality | Dentist |
| Location | 2525 W Anderson Ln, Austin, Texas |
| Authorized Official Name and Position | Mary Pu (CFO) |
| 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 2525 W Anderson Ln Building 3 Suite 300 Austin TX 78757-1180 Ph: (972) 869-3789 |
| NPI Number | 1003111006 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003111006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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