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1821178609
SCOTT BRIAN BOLTZ
KOKOMO, IN
NPI
1821178609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12008297A)
Enumeration Date
2006-10-16
Last Update Date
2009-01-06
Business Address
Dr. SCOTT BRIAN BOLTZ D.D.S.
604 E BOULEVARD ST. SUITE B
KOKOMO, IN 46902-2286
Phone number: 765-864-2328
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Mailing Address
Dr. SCOTT BRIAN BOLTZ D.D.S.
1182 N 850 EAST
GREENTOWN, IN 46936-8828
Phone number: 765-628-3204
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