TIMOTHY J GERETY

LEAVENWORTH, KS
NPI1124081880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KS  6131)
Enumeration Date2006-04-11
Last Update Date2007-07-11
Business Address
Dr. TIMOTHY J GERETY DDS
4101 S 4TH STREET DENTAL CLINIC, L-160
LEAVENWORTH, KS 66048-5055
Phone number: 913-682-2000
Mailing Address
Dr. TIMOTHY J GERETY DDS
4101 S 4TH STREET DENTAL CLINIC, L-160
LEAVENWORTH, KS 66048-5055
Phone number: 913-682-2000