Brian James Bollaert, D.D.S
NPI #1457554602 in East Moline, Illinois
Provider Information
- NPI Number
- 1457554602
- Entity Type
- Individual
- Name
- Brian James Bollaert, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S
- Enumeration Date
- Jun 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2909 19TH STREET
- City
- East Moline
- State
- Illinois
- ZIP Code
- 61244
- Phone
- (309) 796-2251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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