Organization
ALBERT BOHOLST DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT B BOHOLST DMD (PRESIDENT)
(813) 973-8555
Entity
Organization
Contact information
Practice address
27510 CASHFORD CIR, WESLEY CHAPEL, FL 33544-6910
(813) 973-8555
(813) 354-2573
Mailing address
27510 CASHFORD CIR, WESLEY CHAPEL, FL 33544-6910
(813) 973-8555
(813) 354-2573
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
13536
FL
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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