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Dr. Andrew Wilson Dethloff, DDSMA
General Practice Dentistry in Monument, Colorado
NPI 1548893928

Andrew Wilson Dethloff is a General Practice Dentistry based in Monument, CO and is specialized in General Practice. Andrew Wilson Dethloff practices in Monument, CO and has the professional credentials of DDSMA. The NPI Number for Andrew Wilson Dethloff is 1548893928 and holds a License No. 00204282 (Colorado).

The current practice location address for Andrew Wilson Dethloff is 1777 Lake Woodmoor Dr, Monument, CO and can be reached out via phone at 719-488-3014 and via fax at 719-488-3015.

Location: 1777 Lake Woodmoor Dr, Monument, CO, 80132-9074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548893928
Provider Name
Andrew Wilson Dethloff
Credential
DDSMA
Provider Entity Type
Individual
Gender
Male
Address
1777 Lake Woodmoor Dr, Monument, CO, 80132-9074
Phone Number
719-488-3014
Fax Number
719-488-3015
Provider Enumeration Date
02/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1777 Lake Woodmoor Dr
City
Monument
State
Colorado
Zip
80132-9074
Phone Number
719-488-3014
Fax Number
719-488-3015
person
Provider Business Mailing Address Details
Address
1777 Lake Woodmoor Dr
City
Monument
State
Colorado
Zip
80132-9074
Phone Number
719-488-3014
Fax Number
719-488-3015
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
00204282 (Colorado)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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