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Search › Idaho › 122300000X

Brian Bollwitt, D.M.D

NPI 1235547159 · on the registry since 2014 · sole proprietor

Practice

Address
1311 E Central Dr
Meridian, ID 83642
Phone
(208) 373-1855
Organisation at this address
Idaho State University
Idaho State University
Idaho State University
Idaho State University
Idaho State University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
44

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho