Organization · Type 2 NPI

Moore Legacy Dental

Dental Clinic/Center · Roy, UT

NPI number 1649952086 Active

Practice location

4896 S 1900 W Ste B
Roy, UT 84067-2994

Fax (208) 444-9804

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1649952086

Moore Legacy Dental's National Provider Identifier is 1649952086, issued on Aug 4, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Roy, UT. The record was last updated on Aug 4, 2023.