| Terry L Boelter Dds Pc | |
|
410 N Western St Sanborn IA 51248-1109 | |
| (712) 930-5550 | |
| (712) 930-5575 |
| Full Name | Terry L Boelter Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 N Western St, Sanborn, Iowa |
| Authorized Official Name and Position | Terry L Boelter (OWNER) |
| Authorized Official Contact | 7129305550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry L Boelter Dds Pc 410 N Western St Sanborn IA 51248-1109 Ph: (712) 930-5550 | Terry L Boelter Dds Pc 410 N Western St Sanborn IA 51248-1109 Ph: (712) 930-5550 |
| NPI Number | 1467582023 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467582023 | NPI | - | NPPES |
| 1004648 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6554 (Iowa) | Primary |
C & O Dental Enterprises Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 N Western St, Sanborn, IA 51248 Phone: 712-930-5550 |