Woodmoor Family Dentistry

NPI #1346833571 in Monument, Colorado

Provider Information

NPI Number: 1346833571
Entity Type: Organization
Organization Name: Woodmoor Family Dentistry
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 18, 2021
Last Updated: Feb 18, 2021

Practice Location

Address: 1777 LAKE WOODMOOR DR
City: Monument
State: Colorado
ZIP Code: 80132-9074
Phone: (719) 488-3014

Authorized Official

Name: DR. ANDREW WILSON DETHLOFF, DDS
Title: OWNER/DENTIST
Phone: (719) 488-3014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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