| Charles Wohlwend Ddspc | |
|
104 E 6th St Walsenburg CO 81089-2020 | |
| (719) 738-2544 | |
| (719) 738-3747 |
| Full Name | Charles Wohlwend Ddspc |
|---|---|
| Speciality | Dentist |
| Location | 104 E 6th St, Walsenburg, Colorado |
| Authorized Official Name and Position | Charles Wohlwend (DENTIST) |
| Authorized Official Contact | 7195421212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Wohlwend Ddspc 104 E 6th St Walsenburg CO 81089-2020 Ph: (719) 738-2544 | Charles Wohlwend Ddspc 104 E 6th St Walsenburg CO 81089-2020 Ph: (719) 738-2544 |
| NPI Number | 1578198552 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 05/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578198552 | NPI | - | NPPES |
| 20 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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