Fred Carl Last, DMD Valid NPI
Individual provider · Dentist · Englewood, CO
- NPI
- 1851554901
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 9538 (CO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2008-07-09
- Last updated
- 2010-09-29
Practice location
4857 S Broadway
Englewood, CO 80113-6806
(303) 761-1340