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Organization
BOLT FAMILY DENTAL LLC
Active
Organization
BOLT FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R LITTLE DDS (CO-OWNER)
(870) 243-4406
Entity
Organization
Contact information
Practice address
945 N GREEN ST, BROWNSBURG, IN 46112-1032
(317) 852-7112
Mailing address
945 N GREEN ST, BROWNSBURG, IN 46112-1032
(317) 852-7112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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