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Organization
LEGACY DENTAL OF GLEN OAKS
Active
Organization
LEGACY DENTAL OF GLEN OAKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GERALD HEFFELFINGER DDS (OWNER)
(972) 563-8383
Entity
Organization
Contact information
Practice address
4767 VISTA WOOD BLVD, STE 110, DALLAS, TX 75232
(214) 321-8383
Mailing address
4767 VISTA WOOD BLVD, STE 110, DALLAS, TX 75232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25393
TX
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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