Grace Leedy, LLC

NPI #1245704923 in Lakewood, Colorado

Provider Information

NPI Number: 1245704923
Entity Type: Organization
Organization Name: Grace Leedy, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 16, 2019
Last Updated: Jan 16, 2019

Practice Location

Address: 10881 W ASBURY AVE STE 210
City: Lakewood
State: Colorado
ZIP Code: 80227-1970
Phone: (303) 989-0452

Authorized Official

Name: DR. MARK E LEEDY, DDS
Title: OWNER/PARTNER
Phone: (303) 989-0452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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