Individual
MATTHEW KIEBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14769 W 87TH PKWY, ARVADA, CO 80005-1454
(720) 798-1200
Mailing address
14769 W 87TH PKWY, ARVADA, CO 80005-1454
(720) 798-1200
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DEN.00204345
CO
Other
Enumeration date
06/02/2015
Last updated
04/02/2021
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