Individual
DR. WILLIAM CHARLES MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1631 WETZEL AVENUE, BLDG 815, US ARMY DENTAL ACTIVITY, FORT CARSON, CO 80913
(719) 526-5537
(719) 526-5551
Mailing address
1631 WETZEL AVENUE, BLDG 815, US ARMY DENTAL ACTIVITY, FORT CARSON, CO 80913
(719) 526-5537
(719) 526-5551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
104893
CO
1223G0001X
General Practice Dentistry
5001697
WI
1223G0001X
General Practice Dentistry
Primary
DEN-10064
CO
Other
Enumeration date
08/17/2006
Last updated
02/10/2012
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