Organization
LEGENDS ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GATTI DDS (OWNER)
(913) 305-5121
Entity
Organization
Contact information
Practice address
9501 STATE AVE, STE 5, KANSAS CITY, KS 66111-1872
(913) 305-5121
Mailing address
829 DIAMONDHEAD DR, LAWRENCE, KS 66049-5029
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
60862
KS
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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