| Kelly S. Last Dds Pc | |
|
30772 Southview Dr Ste 200 Evergreen CO 80439-2214 | |
| (303) 674-6264 | |
| Not Available |
| Full Name | Kelly S. Last Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 30772 Southview Dr Ste 200, Evergreen, Colorado |
| Authorized Official Name and Position | Kelly Last (PRESIDENT/OWNER) |
| Authorized Official Contact | 7205562518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly S. Last Dds Pc 30772 Southview Dr Ste 200 Evergreen CO 80439-2214 Ph: (303) 674-6264 | Kelly S. Last Dds Pc 30772 Southview Dr Ste 200 Evergreen CO 80439-2214 Ph: (303) 674-6264 |
| NPI Number | 1992490981 |
|---|---|
| Provider Enumeration Date | 04/06/2023 |
| Last Update Date | 04/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992490981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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