Individual
DR. CHARLES NORMAN THEOBALD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 W COUNTY LINE RD, SUITE 210, HIGHLANDS RANCH, CO 80129-2360
(303) 791-0413
(303) 791-2341
Mailing address
200 W COUNTY LINE RD, SUITE 210, HIGHLANDS RANCH, CO 80129-2360
(303) 791-0413
(303) 791-2341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
HDI00291
CO
Other
Enumeration date
09/22/2005
Last updated
07/08/2007
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