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Mark Boettcher, DDS
NPI 1083826390 · on the registry since 2007
Practice
- Address
- 16905 West Wisconsin Ave
Brookfield, WI 53005 - Phone
- (262) 754-4480
- Fax
- (262) 754-4470
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin