Individual
KEVIN L THEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S,M.S.
Contact information
Practice address
10450 PARK MEADOWS DR, LONETREE, CO 80124-5530
(303) 779-0565
(303) 790-9376
Mailing address
10450 PARK MEADOWS DR, #300, LONETREE, CO 80124-5529
(303) 779-0565
(303) 790-9376
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7495
CO
Other
Enumeration date
08/02/2005
Last updated
01/05/2015
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