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Individual

ALBERT BOHOLST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, PA

Contact information

Practice address
27510 CASHFORD CIR, WESLEY CHAPEL, FL 33544-6910
(813) 973-8555
Mailing address
27510 CASHFORD CIR, WESLEY CHAPEL, FL 33544-6910
(813) 973-8555

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13536
FL

Other

Enumeration date
07/15/2006
Last updated
10/19/2010
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