Individual
DR. KYLE RUSSELL O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 W COUNTY LINE RD STE 210, HIGHLANDS RANCH, CO 80129-2342
(303) 791-0413
Mailing address
200 W COUNTY LINE RD STE 210, HIGHLANDS RANCH, CO 80129-2342
(702) 338-5991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00201989
CO
1223G0001X
General Practice Dentistry
6313
NV
Other
Enumeration date
10/18/2012
Last updated
08/31/2020
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