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Organization
DR. DALE E. BOLT DENTISTRY
Active
Organization
DR. DALE E. BOLT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE ERSKINE BOLT D.M.D. (OWNER)
(205) 921-7806
Entity
Organization
Contact information
Practice address
1760 MILITARY HWY SO., HAMILTON, AL 35570-0820
(205) 921-7806
(205) 921-7806
Mailing address
PO BOX 820, 1760 MILITARY HIGHWAY SOUTH, HAMILTON, AL 35570-0820
(205) 921-7806
(205) 921-7806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3147
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009940088
—
AL
05
—
009940089
—
AL
Enumeration date
11/15/2007
Last updated
03/03/2009
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