| Blue Cedar Dentistry Llc | |
|
121 N Main Ave Bolivar MO 65613-1517 | |
| (702) 283-8421 | |
| Not Available |
| Full Name | Blue Cedar Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 121 N Main Ave, Bolivar, Missouri |
| Authorized Official Name and Position | Nathan Bowen (OWNER) |
| Authorized Official Contact | 7022838421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Cedar Dentistry Llc 121 N Main Ave Bolivar MO 65613-1517 Ph: () - | Blue Cedar Dentistry Llc 121 N Main Ave Bolivar MO 65613-1517 Ph: (702) 283-8421 |
| NPI Number | 1528635919 |
|---|---|
| Provider Enumeration Date | 06/05/2021 |
| Last Update Date | 06/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528635919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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