Individual
DR. KYLA RENEA FANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2020 WADSWORTH BLVD, STE 9, LAKEWOOD, CO 80214-5728
(303) 431-1221
Mailing address
7166 W CUSTER AVE, #C-327, LAKEWOOD, CO 80226-2781
(512) 585-7395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
24647
TX
1223G0001X
General Practice Dentistry
Primary
9909
CO
Other
Enumeration date
07/09/2009
Last updated
04/29/2010
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