Individual
DR. ANDRE MAURICE LEGAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
455 W HARWOOD RD, HURST, TX 76054-2941
(817) 268-6888
(817) 284-7733
Mailing address
455 W HARWOOD RD, HURST, TX 76054-2941
(817) 268-6888
(817) 284-7733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13104
TX
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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