Individual
DR. DAKOTA JAMES BOELLSTORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
164 W MAIN ST STE D, NEW MARKET, MD 21774-6279
(301) 865-8333
Mailing address
164 W MAIN ST STE D, NEW MARKET, MD 21774-6279
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S04053
MD
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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