Moore Legacy Dental
Moore Legacy Dental is a Dental Clinic/Center in Roy, Utah. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4896 S 1900 W Ste BRoy, UT 84067-2994
Phone: (801) 773-9198
Fax: (208) 444-9804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1649952086 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elise Van Tassell — Owner · (385) 239-0028 |
| NPI enumerated | August 4, 2023 |
| Last updated in NPPES | August 4, 2023 |
| Certification date | August 4, 2023 |
| Mailing address | 4896 S 1900 W Ste B, Roy, UT 84067-2994 |
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