Individual
BRIAN JAMES BOLLAERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2909 19TH STREET, EAST MOLINE, IL 61244
(309) 796-2251
(309) 796-2274
Mailing address
2909 19TH STREET, EAST MOLINE, IL 61244
(309) 796-2251
(309) 796-2274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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