Individual
DR. MICHAEL EDWARD DAETWYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2014 CARIBOU DR STE 100, FORT COLLINS, CO 80525-4330
(970) 225-9555
(970) 223-2294
Mailing address
2014 CARIBOU DR STE 100, FORT COLLINS, CO 80525-4330
(970) 225-9555
(970) 223-2294
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN.00204321
CO
Other
Enumeration date
05/04/2016
Last updated
12/21/2022
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