Boeck, Wolfgang
Boeck, Wolfgang is an sole proprietor health care provider with primary practice located at 1803 Martin Luther King Jr Way , Berkeley CA 94709-2115. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Boeck, Wolfgang can be contacted via phone (510) 990-0992.Contact Information
Primary practice address
1803 Martin Luther King Jr Way
Berkeley CA 94709-2115
Phone: (510) 990-0992
Fax: (510) 210-0599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 44833 | California |
Profile Details
| NPI number | 1073640140 |
|---|---|
| LBN Legal business name | Boeck, Wolfgang |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Apr 6th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073640140 | NPPES |
| California | Other | 44833 | STATE DENTAL LICENSE NR |
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