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Individual

BRUCE P BOLEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2 HOOPER STREET, MARBLEHEAD, MA 01945-3213
(781) 631-3799
(781) 631-2578
Mailing address
2 HOOPER STREET, MARBLEHEAD, MA 01945-3213
(781) 631-3799
(781) 631-2578

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12934
MA

Other

Enumeration date
05/24/2006
Last updated
07/08/2007
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