Bolic, Samira

Bolic, Samira is an individual health care provider with primary practice located at 905 Franklin St , Waterloo IA 50703-4407. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bolic, Samira can be contacted via phone (319) 272-4300.

Contact Information

Primary practice address
905 Franklin St Waterloo IA 50703-4407
Phone: (319) 272-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 03673 Iowa
Dental Providers / Dental Hygienist 124Q00000X 2358 Iowa

Profile Details

NPI number 1730325283
LBN Legal business name Bolic, Samira
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2009
Last updated Jan 5th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730325283 NPPES
Iowa MEDICAID 076372

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