Kari Marie Bolen, D.D.S

NPI #1609002401 in Custer, South Dakota

Provider Information

NPI Number: 1609002401
Entity Type: Individual
Name: Kari Marie Bolen, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Jun 8, 2009
Last Updated: May 6, 2021

Practice Location

Address: 141 N 5TH ST
City: Custer
State: South Dakota
ZIP Code: 57730-1528
Phone: (605) 261-6488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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