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Individual

DR. MIRIAM BOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD, MPH

Contact information

Practice address
861 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
(215) 302-3600
(215) 329-2369
Mailing address
4417 N 6TH ST, PHILADELPHIA, PA 19140-2319
(215) 302-3600
(215) 329-2369

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044478
PA

Other

Enumeration date
06/11/2024
Last updated
10/15/2024
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