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Individual

DR. WAYNE RICHARD WOELLHAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
8011 MERIDIAN PARK DR, FALCON, CO 80831
(719) 494-1100
Mailing address
8011 MERIDIAN PARK DR, FALCON, CO 80831
(719) 494-1100

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00204217
CO
122300000X
Dentist
D009460
AZ
1223G0001X
General Practice Dentistry
Primary
D009460
AZ

Other

Enumeration date
05/27/2016
Last updated
08/03/2026
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