DR. John Kelly Theisen, D.D.S.
NPI #1629076989 in Fort Morgan, Colorado
Provider Information
- NPI Number
- 1629076989
- Entity Type
- Individual
- Name
- DR. John Kelly Theisen, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Jul 11, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 521 E RAILROAD AVE
- City
- Fort Morgan
- State
- Colorado
- ZIP Code
- 80701-3331
- Phone
- (970) 867-2256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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