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Organization
BOLEN DENTAL PC
Active
Organization
BOLEN DENTAL PC
Active
Other names
Custer Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARI BOLEN DDS (PRESIDENT BOLEN DENTAL PC)
(605) 261-6488
Entity
Organization
Contact information
Practice address
141 N 5TH ST, CUSTER, SD 57730-1528
(605) 321-2086
Mailing address
141 N 5TH ST, CUSTER, SD 57730-1528
(605) 261-6488
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
05/06/2021
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