SearchColorado1223G0001X

Andrew Dethloff, DDS. MA

NPI 1548893928 · on the registry since 2020 · sole proprietor

Practice

Address
1777 Lake Woodmoor Dr
Monument, CO 80132
Phone
(719) 488-3014
Fax
(719) 488-3015
Organisation at this address
Woodmoor Dental
Woodmoor Family Dentistry
Palmer Ridge Dental And Orthodontics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado