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Organization
LEGACY DENTAL STUDIO, LLC
Active
Organization
LEGACY DENTAL STUDIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REESE HARRISON DMD (MANAGER/PROVIDER)
(850) 818-9006
Entity
Organization
Contact information
Practice address
50 ORIGINS MAIN STREET, SUITE 200, INLET BEACH, FL 32461
(850) 818-9006
Mailing address
50 ORIGINS MAIN STREET, SUITE 200, INLET BEACH, FL 32461
(850) 818-9006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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