Individual
MRS. COURTNEY BOLLINGBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
607 18TH AVE NW, AUSTIN, MN 55912-1848
(507) 433-9146
Mailing address
811 N HOLLERUD ST, LYLE, MN 55953-9719
(507) 440-2823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14878
MN
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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