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Individual

CARLY JO KIRKPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
6145 FIRESTONE BLVD, FIRESTONE, CO 80504-5879
(720) 204-4074
Mailing address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(608) 215-7472

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00205203
CO

Other

Enumeration date
06/28/2022
Last updated
06/28/2022
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