Individual
TY WEISENBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1790 E BRIDGE ST, BRIGHTON, CO 80601-1934
(303) 659-1064
Mailing address
3857 SERENADE RD, CASTLE ROCK, CO 80104-7716
(786) 571-3807
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00205127
CO
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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