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Legacy Dental Group, Pc
Dental Clinic/Center in Birmingham, Michigan
NPI 1477894442

Legacy Dental Group, Pc is a Dental Clinic/Center based in Birmingham, MI and is specialized in Dental. Legacy Dental Group, Pc practices in Birmingham, MI. The NPI Number for Legacy Dental Group, Pc is 1477894442 and holds a License No. 012169 (Michigan).

The current practice location address for Legacy Dental Group, Pc is 950 S Old Woodward Ave Ste 200, Birmingham, MI and can be reached out via phone at 248-644-9120 and via fax at 248-282-5060.

Location: 950 S Old Woodward Ave Ste 200, Birmingham, MI, 48009-6719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477894442
Provider Name
Legacy Dental Group, Pc
Credential
Provider Entity Type
Organization
Address
950 S Old Woodward Ave Ste 200, Birmingham, MI, 48009-6719
Phone Number
248-644-9120
Fax Number
248-282-5060
Provider Enumeration Date
03/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
950 S Old Woodward Ave Ste 200
City
Birmingham
State
Michigan
Zip
48009-6719
Phone Number
248-644-9120
Fax Number
248-282-5060
person
Provider Business Mailing Address Details
Address
950 S Old Woodward Ave Ste 200
City
Birmingham
State
Michigan
Zip
48009-6719
Phone Number
248-644-9120
Fax Number
248-282-5060
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
012169 (Michigan)
Definition
Definition to come...
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