NPI | 1275696346 |
---|---|
Doing Business As | LEGACY DENTAL IMPLANT STUDIO |
Entity Type | Organization |
Authorized Contact | RYAN L BRITTINGHAM Owner 913-421-9556 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 116786) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2025-01-29 |