Individual
JOHN C BOEKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1751 HWY 52 N, ROCHESTER, MN 55901-1692
(507) 282-9288
Mailing address
4486 ETTENMOOR LN SW, ROCHESTER, MN 55902-8741
(507) 288-0177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10358
MN
Other
Enumeration date
09/19/2005
Last updated
07/08/2007
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