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1447387741
DANITA ANTIONETTE BOLIN
FORT WORTH, TX
NPI
1447387741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 20698)
Enumeration Date
2007-02-27
Last Update Date
2007-09-19
Business Address
-- DANITA ANTIONETTE BOLIN D.D.S
6801 MCCART AVE STE B2
FORT WORTH, TX 76133-6368
Phone number: 817-423-9300
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Mailing Address
-- DANITA ANTIONETTE BOLIN D.D.S
204 MILLFORD RD
ROANOKE, TX 76262-5085
Phone number: 817-490-1817
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