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Individual

KENT RICHINS DAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1006 A ST, GREELEY, CO 80631-2021
(970) 352-0048
(970) 353-9906
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 395-1130
(970) 353-9906

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104051
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02040517
CO
Enumeration date
04/03/2008
Last updated
06/23/2009
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