# KT DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DK Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043576242
- **Authorized official:** DR. DUY KHIEM HOANG XUAN D.M.D. (DOCTOR)
- **Authorized official phone:** (720) 524-3959

## Contact information

- **Practice address:** 95 S SHERIDAN BLVD, SUITE C, LAKEWOOD, CO 80226-2445
- **Practice address phone:** (720) 524-3959
- **Practice address fax:** (720) 596-4482
- **Mailing address:** 95 S SHERIDAN BLVD, SUITE C, LAKEWOOD, CO 80226-2445
- **Mailing address phone:** (720) 524-3959
- **Mailing address fax:** (720) 596-4482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 8352 | CO | Yes |

## Other

- **Enumeration date:** 04/02/2012
- **Last updated:** 04/02/2012