Individual
DR. TOMMY RAYMOUND SCHWAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
19143 STRAWBERRY LN, MONUMENT, CO 80132-8936
(719) 481-4744
(719) 481-4744
Mailing address
19143 STRAWBERRY LN, MONUMENT, CO 80132-8936
(719) 481-4744
(719) 481-4744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
HD-105397
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105097
DENTISTRY
CO
Enumeration date
10/25/2006
Last updated
03/30/2018
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