| NPI | 1629712062 |
|---|---|
| Doing Business As | STUART BOEKELOO, DDS, PC |
| Entity Type | Organization |
| Authorized Contact | STUART W BOEKELOO Dentist 269-429-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-04-22 |