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Individual

CARLOS A BOLANO

Active
Find providers by NPI
Individual

CARLOS A BOLANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
DL12955
MA
1223D0001X
Public Health Dentistry
Primary
DL15241
MA

Other

Enumeration date
07/02/2014
Last updated
06/23/2023
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