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Organization

DR. DALE E. BOLT DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DALE ERSKINE BOLT D.M.D. (OWNER)
(205) 921-7806
Entity
Organization

Contact information

Practice address
1760 MILITARY HWY SO., HAMILTON, AL 35570-0820
(205) 921-7806
(205) 921-7806
Mailing address
PO BOX 820, 1760 MILITARY HIGHWAY SOUTH, HAMILTON, AL 35570-0820
(205) 921-7806
(205) 921-7806

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3147
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009940088
AL
05
009940089
AL
Enumeration date
11/15/2007
Last updated
03/03/2009
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