Kylee Brightside Dds Pllc | |
1161 S Perry St Ste B100 Castle Rock CO 80104-1978 | |
(720) 799-1445 | |
Not Available |
Full Name | Kylee Brightside Dds Pllc |
---|---|
Speciality | Dentist |
Location | 1161 S Perry St Ste B100, Castle Rock, Colorado |
Authorized Official Name and Position | Kylee Brightside (OWNER) |
Authorized Official Contact | 7207991445 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kylee Brightside Dds Pllc 1161 S Perry St Ste B100 Castle Rock CO 80104-1978 Ph: (720) 799-1445 | Kylee Brightside Dds Pllc 1161 S Perry St Ste B100 Castle Rock CO 80104-1978 Ph: (720) 799-1445 |
NPI Number | 1245887488 |
---|---|
Provider Enumeration Date | 08/22/2019 |
Last Update Date | 08/22/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245887488 | NPI | - | NPPES |
1740625730 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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