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1831291996
MARK ANTHONY BOLDT
WEST ALLIS, WI
NPI
1831291996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: WI 4290-015)
Enumeration Date
2006-09-01
Last Update Date
2017-02-10
Business Address
Dr. MARK ANTHONY BOLDT DDS
2323 S. 109TH STREET SUITE 295
WEST ALLIS, WI 53227
Phone number: 414-545-5225
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Mailing Address
Dr. MARK ANTHONY BOLDT DDS
2323 S. 109TH STREET SUITE 295
WEST ALLIS, WI 53227
Phone number: 414-545-5225
Copy
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