Boeke, Bradley

Boeke, Bradley is an individual health care provider with primary practice located at 4624 Lakeview Pkwy , Rowlett TX 75088-4027. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boeke, Bradley can be contacted via phone (972) 840-2020.

Contact Information

Primary practice address
4624 Lakeview Pkwy Rowlett TX 75088-4027
Fax: (972) 694-0260
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13526 Texas

Profile Details

NPI number 1770628539
LBN Legal business name Boeke, Bradley
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Jun 21st, 2017 - about 7 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.

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