BROCK KEITH BOHLMAN

BOISE, ID
NPI1891878484
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D1972)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
Dr. BROCK KEITH BOHLMAN D.D.S
5993 W STATE ST STE B
BOISE, ID 83703-3039
Phone number: 208-384-0577
Mailing Address
Dr. BROCK KEITH BOHLMAN D.D.S
594 WEST GRAYFOX CT.
MERIDIAN, ID 83646
Phone number: 208-895-8563
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