| Grace Leedy, Llc | |
|
10881 W Asbury Ave Ste 210 Lakewood CO 80227-1970 | |
| (303) 989-0452 | |
| Not Available |
| Full Name | Grace Leedy, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10881 W Asbury Ave Ste 210, Lakewood, Colorado |
| Authorized Official Name and Position | Mark E Leedy (OWNER/PARTNER) |
| Authorized Official Contact | 3039890452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Leedy, Llc 10881 W Asbury Ave Ste 210 Lakewood CO 80227-1970 Ph: (303) 989-0452 | Grace Leedy, Llc 10881 W Asbury Ave Ste 210 Lakewood CO 80227-1970 Ph: (303) 989-0452 |
| NPI Number | 1245704923 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 01/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245704923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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