DR. Leif Roger Gerritzen, DMD

NPI #1790203339 in Lacey, Washington

Provider Information

NPI Number: 1790203339
Entity Type: Individual
Name: DR. Leif Roger Gerritzen, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Sep 4, 2017
Last Updated: Sep 4, 2017

Practice Location

Address: 669 WOODLAND SQUARE LOOP SE
City: Lacey
State: Washington
ZIP Code: 98503-1038
Phone: (360) 359-4860

Specialties & Taxonomy Codes

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

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