NPI 1659962595
Bolen Dental PC
Practice location
- Address
- 141 N 5th St, Custer, SD 57730-1528
- Phone
- (605) 321-2086
Authorised official
- Name
- Kari Bolen
- Title
- President Bolen Dental PC
- Phone
- (605) 261-6488
Registered specialties
Dental Clinic/Center
Primary
Registry record
- NPI
- 1659962595
- Entity type
- Organization
- NPI issued
- 2 Feb 2021
- Record last updated
- 6 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.