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Individual

LAUREN BOLLENBACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
12013473A
IN
1223P0221X
Pediatric Dentistry
8925
KY
1223P0221X
Pediatric Dentistry
9380
NC
1223P0221X
Pediatric Dentistry
Primary
DS044380
PA

Other

Enumeration date
04/24/2010
Last updated
01/30/2024
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