| Legends Family Dental Center | |
|
20241 N 67th Ave Suite A3 Glendale AZ 85308-6653 | |
| (623) 561-1991 | |
| Not Available |
| Full Name | Legends Family Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20241 N 67th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Matthew Edward Ford (OWNER/PRESIDENT) |
| Authorized Official Contact | 6235611991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legends Family Dental Center 20241 N 67th Ave Suite A3 Glendale AZ 85308-6653 Ph: (623) 561-1991 | Legends Family Dental Center 20241 N 67th Ave Suite A3 Glendale AZ 85308-6653 Ph: (623) 561-1991 |
| NPI Number | 1164676292 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 11/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164676292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D6891 (Arizona) | Primary |
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