Provider Demographics
NPI:1811232382
Name:CONTEMPORARY FAMILY DENTISTRY
Entity Type:Organization
Organization Name:CONTEMPORARY FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BOZENA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRACHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-526-1956
Mailing Address - Street 1:24928 GENESEE TRAIL RD STE 150
Mailing Address - Street 2:
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 RD STE 150
Practice Address - Street 2:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO803011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty