DR. Mark R Boettcher, DDS
NPI #1083826390 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1083826390
- Entity Type
- Individual
- Name
- DR. Mark R Boettcher, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 7, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 16905 WEST WISCONSIN AVE
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-5729
- Phone
- (262) 754-4480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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