Individual
DR. CHARLES WOHLWEND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
902 W 29TH ST, PUEBLO, CO 81008-1159
(719) 542-5300
(719) 545-5525
Mailing address
902 W 29TH ST, PUEBLO, CO 81008-1159
(719) 542-5300
(719) 545-5525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
H-D-1-00143
CO
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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