Mindy Boline, RDH

NPI #1528712775 in Fort Polk, Louisiana

Provider Information

NPI Number: 1528712775
Entity Type: Individual
Name: Mindy Boline, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Feb 7, 2022
Last Updated: Feb 7, 2022

Practice Location

Address: 7223 MISSISSIPPI AVE
City: Fort Polk
State: Louisiana
ZIP Code: 71459
Phone: (337) 531-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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