Provider Demographics
NPI:1457549222
Name:BOYESEN, JANIE LEE (DDS, DMSC)
Entity Type:Individual
Prefix:DR
First Name:JANIE
Middle Name:LEE
Last Name:BOYESEN
Suffix:
Gender:F
Credentials:DDS, DMSC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3288 S NEWCOMBE ST
Mailing Address - Street 2:APT 20205
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-6735
Mailing Address - Country:US
Mailing Address - Phone:617-833-3028
Mailing Address - Fax:303-979-2038
Practice Address - Street 1:7761 SHAFFER PKWY
Practice Address - Street 2:STE 240
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3728
Practice Address - Country:US
Practice Address - Phone:303-979-1705
Practice Address - Fax:303-979-2038
Is Sole Proprietor?:No
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO94341223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics