Individual
KATHERINE M.C. BOLTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3371 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2624
(763) 421-4640
(763) 421-0112
Mailing address
3371 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2624
(763) 421-4640
(763) 421-0112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11438
MN
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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