Individual
BEVERLY KEELER SPROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
31226 LEWIS RIDGE RD, EVERGREEN, CO 80439-7998
(303) 674-5566
(303) 674-8911
Mailing address
32581 MEADOW MOUNTAIN RD, EVERGREEN, CO 80439-9731
(303) 674-3542
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7668
CO
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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