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Bolen Dental Pc
Dental Clinic/Center in Custer, South Dakota
NPI 1659962595

Bolen Dental Pc is a Dental Clinic/Center based in Custer, SD and is specialized in Dental. Bolen Dental Pc practices in Custer, SD. The NPI Number for Bolen Dental Pc is 1659962595 and holds a License No. (South Dakota).

The current practice location address for Bolen Dental Pc is 141 N 5Th St, Custer, SD and can be reached out via phone at 605-321-2086.

Location: 141 N 5Th St, Custer, SD, 57730-1528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659962595
Provider Name
Bolen Dental Pc
Credential
Provider Entity Type
Organization
Address
141 N 5Th St, Custer, SD, 57730-1528
Phone Number
605-321-2086
Fax Number
Provider Enumeration Date
02/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
141 N 5Th St
City
Custer
State
South Dakota
Zip
57730-1528
Phone Number
605-321-2086
Fax Number
person
Provider Business Mailing Address Details
Address
141 N 5Th St
City
Custer
State
South Dakota
Zip
57730-1528
Phone Number
605-321-2086
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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