NPI Search for Physicians and Health Care Providers
DR. JOHN EDWIN BOLAND D.D.S.
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1740322767
Individual Registrant:
DR. JOHN EDWIN BOLAND D.D.S.
Gender: M
Sole Proprietor
Location and contact information for practice:
770 TAMALPAIS DR STE 404 CORTE MADERA, CA 94925-1739 US
Tel: 415-927-9052 Fax: 415-927-2231
Contact information for business:
770 TAMALPAIS DR STE 404 CORTE MADERA, CA 94925-1739 US
Tel: 415-927-9052 Fax: 415-927-2231
Registration Information:
NPI: 1740322767
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 122300000X | Dental Providers Dentist
| CA | 39515 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS CA - Page 1