Organization
KEVIN BOEHNKE DDS PLLC
Active
Other names
Courtesy Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BOEHNKE DDS (OWNER)
(641) 529-0253
Entity
Organization
Contact information
Practice address
1371 HECLA DR STE D2, LOUISVILLE, CO 80027-2318
(720) 738-7603
Mailing address
1371 HECLA DR STE D2, LOUISVILLE, CO 80027-2318
(720) 738-7603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528743119
—
CO
Enumeration date
03/25/2024
Last updated
03/25/2024
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