Individual
DR. BOLIVIA PEREIRA HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
674 BOULEVARD DE FRANCE, BEAUFORT, SC 29905
(843) 228-3500
Mailing address
22 CHAUGA STREET, BEAUFORT, SC 29906
(808) 347-7453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35420
TX
Other
Enumeration date
07/11/2019
Last updated
10/06/2021
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