| Broomfield Dental Care Pc | |
|
13606 Xavier Ln Ste B Broomfield CO 80023-3604 | |
| (303) 466-7306 | |
| (303) 466-7389 |
| Full Name | Broomfield Dental Care Pc |
|---|---|
| Speciality | Dentist |
| Location | 13606 Xavier Ln, Broomfield, Colorado |
| Authorized Official Name and Position | Leroy W Gerry (DENTIST) |
| Authorized Official Contact | 3034667306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broomfield Dental Care Pc 13606 Xavier Lane Ste B Broomfield CO 80023 Ph: (303) 466-7306 | Broomfield Dental Care Pc 13606 Xavier Ln Ste B Broomfield CO 80023-3604 Ph: (303) 466-7306 |
| NPI Number | 1457466005 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457466005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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