Individual
DR. DOROTHY WOJTKOWSKI BOISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
600 S PARK AVE, MONTROSE, CO 81401-4324
(907) 240-4485
Mailing address
600 S PARK AVE, MONTROSE, CO 81401-4324
(907) 240-4485
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9428
CO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
9428
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75576023
—
CO
Enumeration date
05/23/2007
Last updated
12/14/2011
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