Brian Bollwitt, D.M.D.

NPI #1235547159 in Meridian, Idaho

Provider Information

NPI Number: 1235547159
Entity Type: Individual
Name: Brian Bollwitt, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jul 23, 2014
Last Updated: Jul 23, 2014

Practice Location

Address: 1311 E CENTRAL DR
City: Meridian
State: Idaho
ZIP Code: 83642-7991
Phone: (208) 373-1855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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