Most Relevant Information
Provider Data
| NPI Number: | 1003548462 |
| Provider Name: | MATTHEW BOEKER DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 6000039-15 |
Most Important Dates
| Enumeration Date: | 06/25/2022 |
| Last Updated: | 06/25/2022 |
Provider Practice Location
5400 W LINCOLN AVE
WEST ALLIS
WI
532191662
Practice Location Phone/Fax
| Phone: | 4143276162 |
| Fax: |
Provider Mailing Location
1570 RIVERS BND APT 302
WAUWATOSA
WI
532263065
Provider Mailing Phone/Fax
| Phone: | 9207846586 |
| Fax: |