Individual
KIM NHI LISA VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1790 E BRIDGE ST, BRIGHTON, CO 80601-1934
(303) 659-1064
Mailing address
12255 CLAUDE CT APT 735, NORTHGLENN, CO 80241-3340
(303) 717-4652
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00203221
CO
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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