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1528635919
BLUE CEDAR DENTISTRY LLC
BOLIVAR, MO
NPI
1528635919
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Entity Type
Organization
Authorized Contact
NATHAN BOWEN
Owner
702-283-8421
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-06-05
Last Update Date
2021-06-07
Business Address
BLUE CEDAR DENTISTRY LLC
121 N MAIN AVE
BOLIVAR, MO 65613-1517
Phone number: 702-283-8421
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Mailing Address
BLUE CEDAR DENTISTRY LLC
121 N MAIN AVE
BOLIVAR, MO 65613-1517
Phone number:
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