Individual
KELVIN HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
360 PEAK ONE DR STE 325, FRISCO, CO 80443-5948
(970) 668-4040
Mailing address
400 N PARK AVE UNIT 12B-1019, BRECKENRIDGE, CO 80424-8709
(425) 274-5688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00205717
CO
Other
Enumeration date
06/30/2023
Last updated
01/09/2025
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