# WOLFENDEN FAMILY DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Berthoud Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508448846
- **Authorized official:** KEITH WOLFENDEN DMD (DENTIST)
- **Authorized official phone:** (727) 457-3418

## Contact information

- **Practice address:** 430 BIMSON AVE, BERTHOUD, CO 80513-1395
- **Practice address phone:** (970) 236-7448
- **Mailing address:** 329 BRONCO CT, BERTHOUD, CO 80513-2829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2021
- **Last updated:** 11/22/2022