Cody Ray Bollendorf, DDS

NPI #1093551327 in Salem, Wisconsin

Provider Information

NPI Number: 1093551327
Entity Type: Individual
Name: Cody Ray Bollendorf, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 5, 2024
Last Updated: Jul 5, 2024

Practice Location

Address: 24418 75TH ST
City: Salem
State: Wisconsin
ZIP Code: 53168-9703
Phone: (262) 843-2004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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