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The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral and Maxillofacial Surgery |
261QS0112X |
| NPI Number | 1811283302 |
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| LBN Legal business name | LEGACY DENTAL, P.C. | ||||||||
| Authorized official | JEFFREY PURK - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/22/2011 | ||||||||
| Last updated | 11/03/2011 - About 15 years ago | ||||||||
| Identifiers |
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LEGACY DENTAL, P.C.