Organization
GRACE LEEDY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E LEEDY DDS (OWNER/PARTNER)
(303) 989-0452
Entity
Organization
Contact information
Practice address
10881 W ASBURY AVE STE 210, LAKEWOOD, CO 80227-1970
(303) 989-0452
Mailing address
10881 W ASBURY AVE STE 210, LAKEWOOD, CO 80227-1970
(303) 989-0452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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