DR. Karl Omer Boltie, DDS

NPI #1407907223 in San Juan, Texas

Provider Information

NPI Number
1407907223
Entity Type
Individual
Name
DR. Karl Omer Boltie, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jan 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1211 RAUL LONGORIA RD.
State
Texas
ZIP Code
78589
Phone
(956) 787-4840

Specialties & Taxonomy Codes

Specialty
Dentist

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