Bruce P Bolen Dmd Llc | |
2 Hooper St Marblehead MA 01945-3213 | |
(781) 631-3799 | |
Not Available |
Full Name | Bruce P Bolen Dmd Llc |
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Speciality | Clinic/center - Dental |
Location | 2 Hooper St, Marblehead, Massachusetts |
Authorized Official Name and Position | Bruce P Bolen (OWNER) |
Authorized Official Contact | 7816313799 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bruce P Bolen Dmd Llc 2 Hooper St Marblehead MA 01945-3213 Ph: () - | Bruce P Bolen Dmd Llc 2 Hooper St Marblehead MA 01945-3213 Ph: (781) 631-3799 |
NPI Number | 1750707493 |
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Provider Enumeration Date | 03/05/2014 |
Last Update Date | 03/05/2014 |
Identifier | Type | State | Issuer |
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1750707493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DN12934 (Massachusetts) | Primary |
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