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Organization
LEGACY DENTISTRY
Active
Organization
LEGACY DENTISTRY
Active
Other names
Legacy Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONI L ENGRAM (GENERAL DENTIST)
(972) 723-1148
Entity
Organization
Contact information
Practice address
151 WALTON WAY, SUITE 102, MIDLOTHIAN, TX 76065-8009
(972) 723-1148
(972) 723-1035
Mailing address
151 WALTON WAY, SUITE 102, MIDLOTHIAN, TX 76065-8009
(972) 723-1148
(972) 723-1035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23952
TX
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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