Individual
NICHOLAS GUAJARDO BOHLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4TH AND INNER LOOP ROAD, BLDG 171, FORT IRWIN, CA 92310
(719) 526-5537
Mailing address
4TH AND INNER LOOP ROAD, BLDG 171, FORT IRWIN, CA 92310
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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