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Organization
CARBON VALLEY DENTAL COMPANY LLC
Active
Organization
CARBON VALLEY DENTAL COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE PATRICK WALKER DDS (OWNER)
(210) 845-7601
Entity
Organization
Contact information
Practice address
8350 COLORADO BLVD UNIT 150, FIRESTONE, CO 80504-6803
(210) 845-7601
Mailing address
12801 LAFAYETTE ST UNIT D202, THORNTON, CO 80241-1810
(210) 845-7601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/15/2024
Last updated
11/22/2024
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