DR. Mark Anthony Boldt, DDS
NPI #1831291996 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1831291996
- Entity Type
- Individual
- Name
- DR. Mark Anthony Boldt, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Prosthodontics
- Credential
- DDS
- Enumeration Date
- Sep 1, 2006
- Last Updated
- Feb 10, 2017
Practice Location
- Address
- 2323 S. 109TH STREET
- Address 2
- SUITE 295
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227
- Phone
- (414) 545-5225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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