Bolen Dental PC
NPI #1770315954 in Custer, South Dakota
Provider Information
- NPI Number
- 1770315954
- Entity Type
- Organization
- Organization Name
- Bolen Dental PC
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Aug 16, 2024
- Last Updated
- Aug 16, 2024
Practice Location
- Address
- 141 N 5TH ST
- City
- Custer
- State
- South Dakota
- ZIP Code
- 57730-1528
- Phone
- (605) 673-2212
Authorized Official
- Name
- KARI BOLEN, DDS
- Title
- PRESIDENT/GENERAL DENTIST
- Phone
- (605) 261-6488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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