NPI | 1821274549 |
---|---|
Doing Business As | LEGENDS DENTAL |
Entity Type | Organization |
Authorized Contact | KELLIE D BRITTINGHAM Office Manager 785-841-5590 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: KS 116786) |
Enumeration Date | 2008-01-11 |
Last Update Date | 2020-04-20 |