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Individual

DANIEL RICHARD BOETTCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2111 W WISCONSIN AVE APT 17, MILWAUKEE, WI 53233-1936
(920) 376-1478
Mailing address
2111 W WISCONSIN AVE APT 17, MILWAUKEE, WI 53233-1936
(920) 376-1478

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001804-15
WI

Other

Enumeration date
05/28/2025
Last updated
05/28/2025
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