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Individual

DR. LEROY W GERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
13606 XAVIER LN STE B, BROOMFIELD, CO 80023-3604
(303) 466-7306
(303) 466-7389
Mailing address
13606 XAVIER LN STE B, BROOMFIELD, CO 80023-3604
(303) 466-7306
(303) 466-7389

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6641
CO

Other

Enumeration date
08/21/2006
Last updated
08/21/2007
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