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LARRY JACK, DDS
DDS
Dentist
NPI: 1386982247Individual
Specialties, Licenses & Credentials
DentistPrimary
Dentist
Code: 122300000X
7752(CO)9327(MD)
Contact & Hours
- Address
- 404 E 7TH ST
LEADVILLE, CO 80461 - Phone
- (410) 980-5433
Quick Facts
- NPI
- 1386982247
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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