Jordan Boehlke
Jordan Boehlke is a Dentist in Waukesha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.
- Licensed in
- WI
- In the registry since
- 2024
Practice location Address checks out
1700 Coral DrWaukesha, WI 53186-1483
Phone: (262) 650-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 6001482-15 (WI) |
|---|
Record details
| NPI number | 1770322026 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 24, 2024 |
| Last updated in NPPES | January 24, 2025 |
| Certification date | January 24, 2025 |
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