Organization
TERRY DENTAL LLC
Active
Other names
Elizabeth Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD BOONE TERRY DMD (OWNER)
(303) 646-6336
Entity
Organization
Contact information
Practice address
210 ELIZABETH ST, ST E, ELIZABETH, CO 80107-7538
(303) 646-6336
(303) 646-5355
Mailing address
210 ELIZABETH ST, ST E., ELIZABETH, CO 80107-7538
(303) 646-6336
(303) 646-5355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10143
CO
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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