Terry E Bolan DDS

NPI 1922278498 - Dentist - 122300000X

NPI Details
NPI 1922278498
Gender Male
Enumeration Date 03/11/2008
Last Updated 03/11/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
735 N WATER ST
926
MILWAUKEE WI, 53202, US
Phone (414) 276-6583
Fax (414) 276-8077
Business Location
735 N WATER ST
926
MILWAUKEE WI, 53202, US
Phone (414) 276-6583
Fax (414) 276-8077
Toxanomy
Taxonomy Code 122300000X
License State Wisconsin
License Number 4155
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According to our database, Terry E Bolan DDS NPI is 1922278498, taxonomy code is 122300000X and license number is 4155, license state is located at Wisconsin. Terry E Bolan DDS physically located at 735 N Water St, Milwaukee WI, 53202. NPI Number Terry E Bolan DDS has the Individual type.

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1922278498 NPI number is provided on an as is basis without warranty of any kind. 1922278498 is maintained by the National Plan & Provider Enumeration System. The contents of Terry E Bolan DDS are for informational purposes only.