JORDAN BOEHLKE
Dentist
Active
Individual
NPI: 1770322026
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 6001482-15 (WI) |
Frequently Asked Questions
NPI 1770322026 is the National Provider Identifier for JORDAN BOEHLKE, a Dentist provider located in Waukesha, WI. This NPI was enumerated on May 24, 2024.
JORDAN BOEHLKE practices at 1700 CORAL DR, Waukesha, WI 53186.
Quick Facts
- NPI
- 1770322026
- Type
- Individual
- Enumerated
- May 24, 2024
- Last Updated
- Jan 24, 2025
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