Individual
DR. KARL OMER BOLTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1211 RAUL LONGORIA RD., SAN JUAN, TX 78589
(956) 787-4840
(956) 787-4840
Mailing address
4708 N 9TH ST, MCALLEN, TX 78504-2930
(956) 972-1558
(956) 972-1558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17666
TX
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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