Individual
ROBERT FRANK LEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15642 MADISON AVE, LAKEWOOD, OH 44107-5611
(216) 521-5482
(216) 521-5482
Mailing address
15642 MADISON AVE, LAKEWOOD, OH 44107-5611
(216) 521-5482
(216) 521-5482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-14210
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0513939
—
OH
Enumeration date
03/31/2007
Last updated
07/09/2007
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