Jerian Ouano Boliver, RDH

NPI #1720342603 in Carthage, New York

Provider Information

NPI Number: 1720342603
Entity Type: Individual
Name: Jerian Ouano Boliver, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jun 26, 2012
Last Updated: Jun 26, 2012

Practice Location

Address: 3 BRIDGE ST
City: Carthage
State: New York
ZIP Code: 13619-1353
Phone: (315) 493-3510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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