Legendary Dental Pllc

NPI #1114490778 in Harlan, Iowa

Provider Information

NPI Number: 1114490778
Entity Type: Organization
Organization Name: Legendary Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 7, 2019
Last Updated: Jan 7, 2019

Practice Location

Address: 1809 21ST ST
City: Harlan
State: Iowa
ZIP Code: 51537-1828
Phone: (712) 340-0333

Authorized Official

Name: DR. LOGAN TRAVIS VEATH, DDS
Title: DENTIST/OWNER
Phone: (712) 340-0333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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