Organization
CARBON VALLEY DENTAL COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE PATRICK WALKER DDS (OWNER)
(210) 845-7601
Entity
Organization
Contact information
Practice address
8350 COLORADO BLVD UNIT 150, FIRESTONE, CO 80504-6803
(210) 845-7601
Mailing address
12801 LAFAYETTE ST UNIT D202, THORNTON, CO 80241-1810
(210) 845-7601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/22/2024
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