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Organization
LEGACY SMILES, LLP
Active
Organization
LEGACY SMILES, LLP
Active
Other names
Legacy Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL GEBHART DDS (OWNER DOCTOR)
(623) 218-6638
Entity
Organization
Contact information
Practice address
28451 NORTH VISTANCIA BLVD, SUITE 101, PEORIA, AZ 85383
(623) 218-6638
(623) 218-6937
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/16/2008
Last updated
09/07/2010
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