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1407807902
MILTON BIZZELLE BOLES
PROVIDENCE, RI
NPI
1407807902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MA 77595)
Enumeration Date
2006-05-12
Last Update Date
2007-07-12
Business Address
DR. MILTON BIZZELLE BOLES MD,DMD
830 CHALKSTONE AVE. VA MEDICAL CENTER
PROVIDENCE, RI 02908-4734
Phone number: 401-457-3056
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Mailing Address
DR. MILTON BIZZELLE BOLES MD,DMD
19 REED ST
LEXINGTON, MA 02421-4309
Phone number: 781-863-2033
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