Organization
KELLY S. LAST DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY LAST DDS (PRESIDENT/OWNER)
(720) 556-2518
Entity
Organization
Contact information
Practice address
30772 SOUTHVIEW DR STE 200, EVERGREEN, CO 80439-2214
(303) 674-6264
Mailing address
30772 SOUTHVIEW DR STE 200, EVERGREEN, CO 80439-2214
(303) 674-6264
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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