Wolfgang Boeck, DDS Valid NPI
Individual provider · Dentist · Berkeley, CA
- NPI
- 1073640140
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 44833 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-27
- Last updated
- 2015-04-06
Practice location
1803 Martin Luther King Jr Way
Berkeley, CA 94709-2115
(510) 990-0992