| NPI | 1760295174 |
|---|---|
| Doing Business As | LEGACY LANDING DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HILLARY THULL Credentialing Coordinator 217-540-8946 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-02-07 |