Bolen Family Dentistry P.c.

NPI 1073819991 - Clinic/Center - 261QD0000X

NPI Details
NPI 1073819991
Enumeration Date 02/10/2011
Last Updated 02/10/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KARI M KARI
Position DIRECTOR/PRESIDENT
Phone (605) 339-0219
Fax
Practice Location
3508 S MINNESOTA AVE STE 108
SIOUX FALLS SD, 57105-6455, US
Phone (605) 339-0219
Fax
Business Location
3508 S MINNESOTA AVE STE 108
SIOUX FALLS SD, 57105-6455, US
Phone
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State South Dakota
License Number D0926
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According to our database, Bolen Family Dentistry P.c. NPI is 1073819991, taxonomy code is 261QD0000X and license number is D0926, license state is located at South Dakota. Bolen Family Dentistry P.c. physically located at 3508 S Minnesota Ave Ste 108, Sioux Falls SD, 57105-6455. NPI Number 1033115704 has the healthcare provider type.

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1073819991 NPI number is provided on an as is basis without warranty of any kind. 1073819991 is maintained by the National Plan & Provider Enumeration System. The contents of Bolen Family Dentistry P.c. are for informational purposes only.