Mark Boldt, DDS

NPI 1831291996 · on the registry since 2006 · sole proprietor

Practice

Address: 2323 S. 109th Street
Suite 295
West Allis, WI 53227
Phone: (414) 545-5225
Fax: (414) 545-5251
Organisation at this address: Lightseed Llc
Royal Home Care
Jjs Smiles, S.C.
Saima Akbar Md Llc
Covering Hands Home Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 1223P0700X
1223P0700X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin