Individual
DR. CHERYL A BOLOGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2532 MONROE ST, DEARBORN, MI 48124-3014
(313) 565-7191
Mailing address
2532 MONROE ST, DEARBORN, MI 48124-3014
(313) 565-7191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015018
MI
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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