| Charles N.theobald D.d.s.,p.c. | |
|
200 W County Line Rd Ste 210 Highlands Ranch CO 80129-2342 | |
| (303) 791-0413 | |
| Not Available |
| Full Name | Charles N.theobald D.d.s.,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 W County Line Rd Ste 210, Highlands Ranch, Colorado |
| Authorized Official Name and Position | Charles N Theobald (OWNER/PRESEDENT) |
| Authorized Official Contact | 3037910413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles N.theobald D.d.s.,p.c. 200 W County Line Rd Ste 210 Highlands Ranch CO 80129-2342 Ph: (303) 791-0413 | Charles N.theobald D.d.s.,p.c. 200 W County Line Rd Ste 210 Highlands Ranch CO 80129-2342 Ph: (303) 791-0413 |
| NPI Number | 1356701072 |
|---|---|
| Provider Enumeration Date | 02/24/2016 |
| Last Update Date | 02/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356701072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 00291 (Colorado) | Primary |
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