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1124081880
TIMOTHY J GERETY
LEAVENWORTH, KS
NPI
1124081880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KS 6131)
Enumeration Date
2006-04-11
Last Update Date
2007-07-11
Business Address
Dr. TIMOTHY J GERETY DDS
4101 S 4TH STREET DENTAL CLINIC, L-160
LEAVENWORTH, KS 66048-5055
Phone number: 913-682-2000
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Mailing Address
Dr. TIMOTHY J GERETY DDS
4101 S 4TH STREET DENTAL CLINIC, L-160
LEAVENWORTH, KS 66048-5055
Phone number: 913-682-2000
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