Individual
KIRK LEWIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3380 W 38TH AVE, DENVER, CO 80211-1910
(303) 458-1361
Mailing address
1476 W 67TH PL, DENVER, CO 80221-2757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205236
CO
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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