Individual
KELLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25791 E SMOKY HILL ROAD, STE 10, AURORA, CO 80016
(303) 699-3221
Mailing address
25791 E SMOKY HILL ROAD, STE 10, AURORA, CO 80016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00202629
CO
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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