Terry Dental LLC

NPI #1629456298 in Elizabeth, Colorado

Provider Information

NPI Number
1629456298
Entity Type
Organization
Organization Name
Terry Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 14, 2015
Last Updated
May 14, 2015

Practice Location

Address
210 ELIZABETH ST
Address 2
ST E
ZIP Code
80107-7538
Phone
(303) 646-6336

Authorized Official

Name
DR. RONALD BOONE TERRY, DMD
Title
OWNER
Phone
(303) 646-6336

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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