Individual provider · Type 1 NPI
Mark Anthony Boldt, DDS
Prosthodontics · West Allis, WI
NPI number
1831291996
Active
Practice location
2323 S. 109th Street, Suite 295
West Allis, WI 53227
Fax (414) 545-5251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 4290-015 (WI) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Other prosthodontics providers in West Allis
About NPI 1831291996
Mark Anthony Boldt, DDS's National Provider Identifier is 1831291996, issued on Sep 1, 2006. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in West Allis, WI. The record was last updated on Feb 10, 2017.