| Dr. Timothy J. Wachuta | |
|
2305 Jackson St Golden CO 80401-2372 | |
| (303) 278-2800 | |
| (303) 278-8448 |
| Full Name | Dr. Timothy J. Wachuta |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2305 Jackson St, Golden, Colorado |
| Authorized Official Name and Position | Timothy John Wachuta (OWNER) |
| Authorized Official Contact | 3032782800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Timothy J. Wachuta 2305 Jackson St Golden CO 80401-2372 Ph: (303) 278-2800 | Dr. Timothy J. Wachuta 2305 Jackson St Golden CO 80401-2372 Ph: (303) 278-2800 |
| NPI Number | 1154917672 |
|---|---|
| Provider Enumeration Date | 12/18/2020 |
| Last Update Date | 12/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154917672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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