Individual
DANA K LEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
532 VAL VISTA ST, STE 101, SHERIDAN, WY 82801-3655
(307) 674-6444
(307) 673-5004
Mailing address
532 VAL VISTA ST, STE 101, SHERIDAN, WY 82801-3655
(307) 674-6444
(307) 673-5004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1027
WY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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