LEIF ROGER GERRITZEN

LACEY, WA
NPI1790203339
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE60773945)
Enumeration Date2017-09-04
Last Update Date2017-09-04
Business Address
Dr. LEIF ROGER GERRITZEN DMD
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503-1038
Phone number: 360-359-4860
Mailing Address
Dr. LEIF ROGER GERRITZEN DMD
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-0502
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