Individual
DR. GEORGE WAYNE LEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 N 3RD ST STE 4, LONGVIEW, TX 75601-6550
(903) 553-0480
(903) 553-0481
Mailing address
615 N 3RD ST STE 4, LONGVIEW, TX 75601-6550
(903) 553-0480
(903) 553-0481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6708
LICENSE
TX
Enumeration date
06/18/2007
Last updated
07/08/2007
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