| Legacy Endodontics | |
|
400 Indiana St Suite 370 Golden CO 80401-5027 | |
| (303) 526-1502 | |
| (303) 526-1502 |
| Full Name | Legacy Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 400 Indiana St, Golden, Colorado |
| Authorized Official Name and Position | Wade Hirschman (OWNER/DENTIST) |
| Authorized Official Contact | 3035261502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Endodontics 400 Indiana St Suite 370 Golden CO 80401-5027 Ph: (303) 526-1502 | Legacy Endodontics 400 Indiana St Suite 370 Golden CO 80401-5027 Ph: (303) 526-1502 |
| NPI Number | 1386992113 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 08/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386992113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 9779 (Colorado) | Primary |
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› Verified 8 days ago
Legacy Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Indiana St, Suite 370, Golden, CO 80401 Phone: 303-526-1502 Fax: 303-526-1508 | |
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