Blue Cedar Dentistry LLC

NPI #1528635919 in Bolivar, Missouri

Provider Information

NPI Number
1528635919
Entity Type
Organization
Organization Name
Blue Cedar Dentistry LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 5, 2021
Last Updated
Jun 7, 2021

Practice Location

Address
121 N MAIN AVE
ZIP Code
65613-1517
Phone
(702) 283-8421

Authorized Official

Name
NATHAN BOWEN, DMD
Title
OWNER
Phone
(702) 283-8421

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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