Individual
MATTHEW BOEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5400 W LINCOLN AVE, WEST ALLIS, WI 53219-1662
(414) 327-6162
Mailing address
1570 RIVERS BND APT 302, WAUWATOSA, WI 53226-3065
(920) 784-6586
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6000039-15
WI
Other
Enumeration date
06/25/2022
Last updated
06/25/2022
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