Individual
KATHLEEN E FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2780 S BROADWAY, ENGLEWOOD, CO 80113-1523
(303) 783-0100
Mailing address
1633 N PEARL ST APT 424, DENVER, CO 80203-1644
(913) 544-7876
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00204841
CO
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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