Individual
ROBERT JOHN WURTZEBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., R.PH.
Contact information
Practice address
7425 W HAMPDEN AVE, LAKEWOOD, CO 80227-5171
(303) 969-8989
(303) 969-8994
Mailing address
7425 W HAMPDEN AVE, LAKEWOOD, CO 80227-5171
(303) 969-8989
(303) 969-8994
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
463
CO
183500000X
Pharmacist
15445
CO
Other
Enumeration date
09/25/2006
Last updated
08/03/2007
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