Organization
DR. TIMOTHY J. WACHUTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOHN WACHUTA DDS (DENTIST/OWNER)
(303) 425-5100
Entity
Organization
Contact information
Practice address
8850 W 38TH AVE STE D, WHEAT RIDGE, CO 80033-4245
(303) 425-5100
(303) 424-9578
Mailing address
8850 W 38TH AVE STE D, WHEAT RIDGE, CO 80033-4245
(303) 425-5100
(303) 424-9578
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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