Organization
BARRY WECHSLER DDS INC
Active
Other names
Legacy Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL AARON WECHSLER DDS (OWNER)
(805) 527-4988
Entity
Organization
Contact information
Practice address
2124 WINIFRED ST, SIMI VALLEY, CA 93063-2934
(805) 527-4988
Mailing address
2124 WINIFRED ST, SIMI VALLEY, CA 93063-2934
(805) 527-4988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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