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Individual

DR. BRIAN CHRISTOPHER BOHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
13605 XAVIER LN, SUITE D, BROOMFIELD, CO 80023-3603
(720) 887-8357
(720) 887-8359
Mailing address
14144 SUN BLAZE LOOP, UNIT D, BROOMFIELD, CO 80023-4555
(702) 245-0723

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5055
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9599
CO

Other

Enumeration date
05/11/2007
Last updated
10/04/2009
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