DR. Kelly S Last, DDS

NPI #1184851867 in Evergreen, Colorado

Provider Information

NPI Number
1184851867
Entity Type
Individual
Name
DR. Kelly S Last, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 19, 2009
Last Updated
Nov 18, 2009

Practice Location

Address
3092 EVERGREEN PKWY
Address 2
#100
ZIP Code
80439-7849
Phone
(303) 674-6264

Specialties & Taxonomy Codes

Specialty
Dentist

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