Individual
KYLE DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., DDS
Contact information
Practice address
2979 IOLA ST, DENVER, CO 80238-3193
(720) 703-9116
Mailing address
2222 OLD RAIL WAY, SUPERIOR, CO 80027-8753
(720) 633-7875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00204086
CO
1223P0300X
Periodontics
204086
CO
Other
Enumeration date
10/23/2019
Last updated
11/15/2023
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