ALBERT BOHOLST DMD PA NPI 1770893927

NPI Information

ALBERT BOHOLST DMD, PA is a customized equipment durable medical equipment medical supplies in Wesley Chapel, FL. ALBERT BOHOLST DMD, PA NPI is 1770893927. The provider is registered as an organization entity type.

The provider's business location address is:

27510 CASHFORD CIR
WESLEY CHAPEL, FL
ZIP 33544-910
Phone: (813) 973-8555
Fax: (813) 354-2573

The provider's authorized official is Albert B Boholst .
The authorized official title is President and has the following contact phone number (813) 973-8555.

The enumeration date for this NPI number is 10/20/2010 and was last updated on 10/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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