Individual
DALLAS DANIELLE KENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
820 1ST STREET, LIMON, CO 80828
(719) 775-2367
(719) 775-2365
Mailing address
820 1ST STREET, LIMON, CO 80828
(719) 775-2367
(719) 775-2365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0000
CO
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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