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1922123637
BRET A BOLOGNA
CROWN POINT, IN
NPI
1922123637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12009795)
Enumeration Date
2007-03-20
Last Update Date
2012-10-16
Business Address
Dr. BRET A BOLOGNA DDS
11039 BROADWAY SUITE A
CROWN POINT, IN 46307-8834
Phone number: 219-663-7193
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Mailing Address
Dr. BRET A BOLOGNA DDS
11039 BROADWAY SUITE A
CROWN POINT, IN 46307-8834
Phone number: 219-663-7193
Copy
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