MR. Kevin Dietiker, DDS

NPI #1316526379 in Louisville, Colorado

Provider Information

NPI Number: 1316526379
Entity Type: Individual
Name: MR. Kevin Dietiker, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Apr 6, 2021
Last Updated: Feb 27, 2023

Practice Location

Address: 877 E SOUTH BOULDER RD # RX
City: Louisville
State: Colorado
ZIP Code: 80027-1345
Phone: (303) 665-8228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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