Individual
DR. TIMOTHY J GERETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4101 S 4TH STREET, DENTAL CLINIC, L-160, LEAVENWORTH, KS 66048-5055
(913) 682-2000
Mailing address
4101 S 4TH STREET, DENTAL CLINIC, L-160, LEAVENWORTH, KS 66048-5055
(913) 682-2000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6131
KS
Other
Enumeration date
04/11/2006
Last updated
07/11/2007
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