Organization
WOLFENDEN FAMILY DENTAL, PLLC
Active
Other names
Berthoud Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH WOLFENDEN DMD (DENTIST)
(727) 457-3418
Entity
Organization
Contact information
Practice address
430 BIMSON AVE, BERTHOUD, CO 80513-1395
(970) 236-7448
Mailing address
329 BRONCO CT, BERTHOUD, CO 80513-2829
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
11/22/2022
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