Organization
LEGACY MOBILE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NESREEN AOUTHMANY DDS (MANAGING MEMBER)
(419) 728-9998
Entity
Organization
Contact information
Practice address
2737 NAVARRE AVE STE 203, OREGON, OH 43616-3276
(419) 728-9998
Mailing address
2737 NAVARRE AVE STE 203, OREGON, OH 43616-3276
(419) 728-9998
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
07/21/2026
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