Ellen Cleary Bollmeier, DMD Valid NPI
Individual provider · General Practice Dentistry · O Fallon, IL
- NPI
- 1568559532
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 019-018613 (IL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-10-09
- Last updated
- 2014-01-02
Practice location
2010 West Highway 50
O Fallon, IL 62269
(618) 622-8888