LEGACY DENTAL LLC

NPI # 

Practice Address:

4520 Lower Terrace Cir Ne

Albuquerque, NM, 87111-2503

Practice Phone:

505-299-4431

Practice Fax:

505-291-0265

License Number:

DD3103

License State:

NM

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X