| Legacy Dental Llc | |
|
7215 Engle Rd. Fort Wayne IN 46804 | |
| (260) 434-1133 | |
| Not Available |
| Full Name | Legacy Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7215 Engle Rd., Fort Wayne, Indiana |
| Authorized Official Name and Position | Nathan James Bojrab (CEO) |
| Authorized Official Contact | 2604341133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Dental Llc 7215 Engle Rd. Fort Wayne IN 46804 Ph: (260) 434-1133 | Legacy Dental Llc 7215 Engle Rd. Fort Wayne IN 46804 Ph: (260) 434-1133 |
| NPI Number | 1083704019 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083704019 | NPI | - | NPPES |
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