Individual
DR. ELLEN CLEARY BOLLMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2010 WEST HIGHWAY 50, O FALLON, IL 62269
(618) 622-8888
(618) 622-9888
Mailing address
1237 TANGLEWOOD TRCE, O FALLON, IL 62269-3112
(618) 624-6001
(618) 624-6001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-018613
IL
Other
Enumeration date
10/09/2006
Last updated
01/02/2014
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