Broomfield Dental Care PC

NPI #1457466005 in Broomfield, Colorado

Provider Information

NPI Number: 1457466005
Entity Type: Organization
Organization Name: Broomfield Dental Care PC
Primary Specialty: Dentist
Enumeration Date: Aug 21, 2006
Last Updated: Aug 22, 2007

Practice Location

Address: 13606 XAVIER LN
Address 2: STE B
City: Broomfield
State: Colorado
ZIP Code: 80023-3604
Phone: (303) 466-7306

Authorized Official

Name: DR. LEROY W GERRY, DDS
Title: DENTIST
Phone: (303) 466-7306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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