| Bohman Orthodontics, Pc | |
|
13605 Xavier Ln Suite D Broomfield CO 80023-3603 | |
| (720) 887-8357 | |
| (720) 887-8359 |
| Full Name | Bohman Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 13605 Xavier Ln, Broomfield, Colorado |
| Authorized Official Name and Position | Brian Bohman (ORTHODONTIST) |
| Authorized Official Contact | 7208878357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bohman Orthodontics, Pc 13605 Xavier Ln Suite D Broomfield CO 80023-3603 Ph: (720) 887-8357 | Bohman Orthodontics, Pc 13605 Xavier Ln Suite D Broomfield CO 80023-3603 Ph: (720) 887-8357 |
| NPI Number | 1629217583 |
|---|---|
| Provider Enumeration Date | 02/16/2009 |
| Last Update Date | 02/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629217583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 9599 (Colorado) | Primary |
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