Organization · Type 2 NPI
Blue Cedar Dentistry LLC
Dental Clinic/Center · Bolivar, MO
NPI number
1528635919
Active
Practice location
121 N Main Ave
Bolivar, MO 65613-1517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Bolivar
About NPI 1528635919
Blue Cedar Dentistry LLC's National Provider Identifier is 1528635919, issued on Jun 5, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Bolivar, MO. The record was last updated on Jun 7, 2021.