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Blue Cedar Dentistry Llc
Dental Clinic/Center in Bolivar, Missouri
NPI 1528635919

Blue Cedar Dentistry Llc is a Dental Clinic/Center based in Bolivar, MO and is specialized in Dental. Blue Cedar Dentistry Llc practices in Bolivar, MO. The NPI Number for Blue Cedar Dentistry Llc is 1528635919 and holds a License No. (Missouri).

The current practice location address for Blue Cedar Dentistry Llc is 121 N Main Ave, Bolivar, MO and can be reached out via phone at 702-283-8421.

Location: 121 N Main Ave, Bolivar, MO, 65613-1517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528635919
Provider Name
Blue Cedar Dentistry Llc
Credential
Provider Entity Type
Organization
Address
121 N Main Ave, Bolivar, MO, 65613-1517
Phone Number
702-283-8421
Fax Number
Provider Enumeration Date
06/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
121 N Main Ave
City
Bolivar
State
Missouri
Zip
65613-1517
Phone Number
702-283-8421
Fax Number
person
Provider Business Mailing Address Details
Address
121 N Main Ave
City
Bolivar
State
Missouri
Zip
65613-1517
Phone Number
702-283-8421
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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