Organization
ALBERT BOHOLST, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT BOHOLST (DENTIST)
(813) 973-8555
Entity
Organization
Contact information
Practice address
2623 N FOREST RIDGE BLVD, HERNANDO, FL 34442-5123
(813) 746-4684
Mailing address
27510 CASHFORD CIR, WESLEY CHAPEL, FL 33544-6910
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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