Kevin Boehnke Dds Pllc | |
1371 Hecla Dr Ste D2 Louisville CO 80027-2318 | |
(720) 738-7603 | |
Not Available |
Full Name | Kevin Boehnke Dds Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 1371 Hecla Dr Ste D2, Louisville, Colorado |
Authorized Official Name and Position | Kevin Boehnke (OWNER) |
Authorized Official Contact | 6415290253 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kevin Boehnke Dds Pllc 1371 Hecla Dr Ste D2 Louisville CO 80027-2318 Ph: (720) 738-7603 | Kevin Boehnke Dds Pllc 1371 Hecla Dr Ste D2 Louisville CO 80027-2318 Ph: (720) 738-7603 |
NPI Number | 1275383994 |
---|---|
Provider Enumeration Date | 03/25/2024 |
Last Update Date | 03/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275383994 | NPI | - | NPPES |
1528743119 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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