| Kylee Brightside DDS PLLC | |
|
1161 S Perry St Ste B100 Castle Rock CO 80104-1978 | |
| (720) 799-1445 | |
| Not Available |
| Full Name | Kylee Brightside DDS PLLC |
|---|---|
| Speciality | Dentist |
| Location | 1161 S Perry St Ste B100, Castle Rock, Colorado |
| Authorized Official Name and Position | Kylee Brightside (OWNER) |
| Authorized Official Contact | 7207991445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kylee Brightside DDS PLLC 1161 S Perry St Ste B100 Castle Rock CO 80104-1978 Ph: (720) 799-1445 | Kylee Brightside DDS PLLC 1161 S Perry St Ste B100 Castle Rock CO 80104-1978 Ph: (720) 799-1445 |
| NPI Number | 1245887488 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245887488 | NPI | - | NPPES |
| 1740625730 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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