Individual
DR. KYLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5865 LEHMAN DR STE 200, COLORADO SPRINGS, CO 80918-3412
(719) 598-8118
Mailing address
4605 WHISTLER PT APT I, COLORADO SPRINGS, CO 80918-7981
(719) 440-9317
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204461
CO
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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