SearchMinnesotaGeneral Practice Dentistry

Mark Legan

NPI 1013281302 · on the registry since 2012 · sole proprietor

Practice

Address
1004 Glen Paul Ct
Shoreview, MN 55126
Phone
(651) 490-1158

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota