Individual
KEVIN HERTICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12999 W BOWLES DR, LITTLETON, CO 80127-4641
(720) 513-1193
Mailing address
4257 MARIPOSA ST, DENVER, CO 80211-2530
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DEN.00203362
CO
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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