Individual
MR. KEVIN DIETIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
877 E SOUTH BOULDER RD # RX, LOUISVILLE, CO 80027-1345
(303) 665-8228
(303) 200-7375
Mailing address
877 E SOUTH BOULDER RD, LOUISVILLE, CO 80027-1345
(303) 665-8228
(303) 200-7375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00204989
CO
Other
Enumeration date
04/06/2021
Last updated
02/27/2023
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