Individual
DR. KIRK L BOETTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12600 SE 38TH ST, #204, BELLEVUE, WA 98006-6105
(425) 747-6640
Mailing address
12600 SE 38TH ST, #204, BELLEVUE, WA 98006-6105
(425) 747-6640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4903
WA
Other
Enumeration date
10/18/2006
Last updated
06/11/2012
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