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Organization

LEGENDS DRIVE DENTAL CENTER LLC

Active
Other names
Legends Dental
Organization subpart
No

Provider details

NPI number
Authorized official
KELLIE D BRITTINGHAM (OFFICE MANAGER)
(785) 841-5590
Entity
Organization

Contact information

Practice address
4900 LEGENDS DR, LAWRENCE, KS 66049-3886
(785) 841-5590
(785) 856-2339
Mailing address
4900 LEGENDS DR, LAWRENCE, KS 66049-3886
(785) 841-5590
(785) 856-2339

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
116786
KS

Other

Enumeration date
01/11/2008
Last updated
04/20/2020
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