GRANT DANIEL BOLLE

COEUR D ALENE, ID
NPI1740968676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-5544)
Enumeration Date2023-07-10
Last Update Date2023-07-10
Business Address
Dr. GRANT DANIEL BOLLE DDS
1015 W IRONWOOD DR
COEUR D ALENE, ID 83814-2602
Phone number: 208-664-2160
Mailing Address
Dr. GRANT DANIEL BOLLE DDS
1940 W RIVERSTONE DR APT 207
COEUR D ALENE, ID 83814-4995
Phone number: 630-390-8930
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