BRIAN BOLLWITT

MERIDIAN, ID
NPI1235547159
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4598)
Enumeration Date2014-07-23
Last Update Date2014-07-23
Business Address
-- BRIAN BOLLWITT D.M.D.
1311 E CENTRAL DR
MERIDIAN, ID 83642-7991
Phone number: 208-373-1855
Mailing Address
-- BRIAN BOLLWITT D.M.D.
1311 E CENTRAL DR
MERIDIAN, ID 83642-7991
Phone number: 208-373-1855
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