Individual
DR. WILLIAM C BOLICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
424 SOUTH ST, WATERLOO, IA 50701-1516
(319) 234-2684
(319) 233-5974
Mailing address
424 SOUTH ST, WATERLOO, IA 50701-1516
(319) 234-2684
(319) 233-5974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06526
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17164
BCBS
IA
01
—
171645
DELTA DENTAL
IA
05
—
2500009
—
IA
Enumeration date
02/20/2006
Last updated
07/08/2007
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