Organization · Type 2 NPI

Legacy Dental Group

Non-Pharmacy Dispensing Site · Glendale, AZ

NPI number 1215953161 Active

Practice location

18205 N 51st Ave Ste 101
Glendale, AZ 85308-1491

Fax (602) 993-4222

Mailing address

Poc Management Llc, 3000 W Warner Ave
Santa Ana, CA 92704

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XD4729 (AZ)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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About NPI 1215953161

Legacy Dental Group's National Provider Identifier is 1215953161, issued on Jul 14, 2006. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Glendale, AZ. The record was last updated on Aug 22, 2020.