| Richard C Bolten Dds Pc | |
|
4721 Dixie Hwy Waterford MI 48329-3565 | |
| (248) 673-7026 | |
| (248) 673-6989 |
| Full Name | Richard C Bolten Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4721 Dixie Hwy, Waterford, Michigan |
| Authorized Official Name and Position | Richard Carl Bolten (PRESIDENT) |
| Authorized Official Contact | 2486737026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard C Bolten Dds Pc 4721 Dixie Hwy Waterford MI 48329-3565 Ph: (248) 673-7026 | Richard C Bolten Dds Pc 4721 Dixie Hwy Waterford MI 48329-3565 Ph: (248) 673-7026 |
| NPI Number | 1427185776 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427185776 | NPI | - | NPPES |
| 2901012575 | Other | MI | STATE DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901012575 (Michigan) | Primary |
News Archive
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