Individual
DR. KEITH WOLFENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
430 BIMSON AVE, BERTHOUD, CO 80513-1395
(970) 532-4209
Mailing address
329 BRONCO CT, BERTHOUD, CO 80513-2829
(904) 703-2782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00203846
CO
Other
Enumeration date
07/28/2010
Last updated
11/22/2022
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