Individual
CRYSTAL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
14749 W 87TH PKWY UNIT C, ARVADA, CO 80005-1337
(720) 779-0088
(720) 779-0099
Mailing address
14749 W 87TH PKWY UNIT C, ARVADA, CO 80005-1337
(720) 779-0088
(720) 779-0099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
203890
CO
122300000X
Dentist
21397
FL
Other
Enumeration date
07/16/2015
Last updated
03/03/2021
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