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Individual

DR. CHRISTOPHER BOCKRATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
951 E 120TH AVE UNIT D, THORNTON, CO 80233-5719
(303) 305-4466
Mailing address
3811 GRAND OAK TRL, DAYTON, OH 45440-5011
(937) 204-9233

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00204003
CO
1223G0001X
General Practice Dentistry
30.025798
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00204003
COLORADO DENTAL BOARD
CO
01
30.025798
OHIO STATE DENTAL BOARD
OH
Enumeration date
06/02/2019
Last updated
05/10/2023
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