Bolen Family Dentistry P.c.

NPI #1073819991 in Sioux Falls, South Dakota

Provider Information

NPI Number
1073819991
Entity Type
Organization
Organization Name
Bolen Family Dentistry P.c.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 10, 2011
Last Updated
Feb 10, 2011

Practice Location

Address
3508 S MINNESOTA AVE STE 108
ZIP Code
57105-6455
Phone
(605) 339-0219

Authorized Official

Name
KARI M BOLEN, DDS
Title
DIRECTOR/PRESIDENT
Phone
(605) 261-6488

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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