Mark D Bollaert, D.D.S.

NPI #1033234851 in Moline, Illinois

Provider Information

NPI Number
1033234851
Entity Type
Individual
Name
Mark D Bollaert, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Mar 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3001 41ST ST
City
Moline
ZIP Code
61265-7826
Phone
(309) 764-1173

Specialties & Taxonomy Codes

Specialty
Dentist

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