Organization
CHARLES N.THEOBALD D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES N THEOBALD D.D.S. (OWNER/PRESEDENT)
(303) 791-0413
Entity
Organization
Contact information
Practice address
200 W COUNTY LINE RD STE 210, HIGHLANDS RANCH, CO 80129-2342
(303) 791-0413
Mailing address
200 W COUNTY LINE RD STE 210, HIGHLANDS RANCH, CO 80129-2342
(303) 791-0413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00291
CO
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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