Individual
DR. TIMOTHY BANDROWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
755 S PERRY ST, STE 300, CASTLE ROCK, CO 80104-1901
(303) 660-5651
(303) 660-1582
Mailing address
755 S PERRY ST, STE 300, CASTLE ROCK, CO 80104-1901
(303) 660-5651
(303) 660-1582
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8089
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58457721
—
CO
Enumeration date
06/23/2005
Last updated
05/02/2012
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