Organization
BRUCE P BOLEN DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE P BOLEN (OWNER)
(781) 631-3799
Entity
Organization
Contact information
Practice address
2 HOOPER ST, MARBLEHEAD, MA 01945-3213
(781) 631-3799
Mailing address
2 HOOPER ST, MARBLEHEAD, MA 01945-3213
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN12934
MA
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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