DR. Mark Boeche, D.D.S.

NPI #1063678407 in Janesville, Wisconsin

Provider Information

NPI Number: 1063678407
Entity Type: Individual
Name: DR. Mark Boeche, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 5, 2008
Last Updated: Aug 5, 2008

Practice Location

Address: 1915 E MILWAUKEE ST
City: Janesville
State: Wisconsin
ZIP Code: 53545-2647
Phone: (608) 754-5768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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