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Organization

BOLEN DENTAL PC

Active
Other names
Custer Dental Studio
Organization subpart
No

Provider details

NPI number
Authorized official
KARI BOLEN DDS (PRESIDENT/GENERAL DENTIST)
(605) 261-6488
Entity
Organization

Contact information

Practice address
141 N 5TH ST, CUSTER, SD 57730-1528
(605) 673-2212
Mailing address
141 N 5TH ST, CUSTER, SD 57730-1528
(605) 673-2212

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
08/16/2024
Last updated
08/16/2024
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