Provider Demographics
NPI:1962545467
Name:STRACHAN, BOZENA (DMD)
Entity type:Individual
Prefix:
First Name:BOZENA
Middle Name:
Last Name:STRACHAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24928 GENESEE TRAIL ROAD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-9354
Mailing Address - Country:US
Mailing Address - Phone:303-526-1956
Mailing Address - Fax:
Practice Address - Street 1:24928 GENESEE TRAIL ROAD
Practice Address - Street 2:SUITE 150
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-9354
Practice Address - Country:US
Practice Address - Phone:303-526-1956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO80311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice