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Organization
WOLFENDEN FAMILY DENTAL, PLLC
Active
Organization
WOLFENDEN FAMILY DENTAL, PLLC
Active
Other names
Berthoud Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH WOLFENDEN DMD (DENTIST)
(727) 457-3418
Entity
Organization
Contact information
Practice address
430 BIMSON AVE, BERTHOUD, CO 80513-1395
(970) 236-7448
Mailing address
329 BRONCO CT, BERTHOUD, CO 80513-2829
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/26/2021
Last updated
11/22/2022
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