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Organization
LEGACY WEST DENTAL, PLLC
Active
Organization
LEGACY WEST DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERIT T DAVIS DDS (MANAGER/OWNER)
(469) 530-4168
Entity
Organization
Contact information
Practice address
6847 COMMUNICATIONS PKWY STE 720, PLANO, TX 75024-6151
(469) 530-4168
Mailing address
6847 COMMUNICATIONS PKWY STE 720, PLANO, TX 75024-6151
(469) 530-4168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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