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Provider Information for 1770535429

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. LAWRENCE MICHAEL KULJIS DDS

Gender: MALE

Individual NPI: 1770535429

Calendar   Last Updated:  2016-06-29
  Certification Date: 

Details

Name Value
NPI 1770535429
Enumeration Date 2006-05-17
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 8200 E BELLEVIEW AVE STE 465
GREENWOOD VILLAGE, CO 80111-2828
United States

Phone: 303-691-2555 | Fax:
View Map External Link
Primary Practice Address 8200 E BELLEVIEW AVENUE SUITE 465
GREENWOOD VILLAGE, CO 80111
United States

Phone: 303-771-7326 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CO 104058