Individual
DR. KEVIN M MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18240 E 104TH AVE UNIT 201, COMMERCE CITY, CO 80022-0660
(303) 928-7838
(216) 584-1363
Mailing address
5650 ARGONNE ST APT 12303, DENVER, CO 80249-8866
(812) 322-8066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00204371
CO
Other
Enumeration date
05/27/2016
Last updated
07/07/2020
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