Individual
DANIEL L. BOLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1920 JOHN F KENNEDY RD, DUBUQUE, IA 52002-3896
(563) 557-8150
Mailing address
1920 JOHN F KENNEDY RD, DUBUQUE, IA 52002-3896
(563) 557-8150
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6259
IA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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