# WM BOLAK, DMD & ASSOCIATES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386725000
- **Authorized official:** DR. WILLIAM MICHAEL BOLAK D.M.D. (PRESIDENT)
- **Authorized official phone:** (972) 964-3636

## Contact information

- **Practice address:** 5509 PLEASANT VALLEY DR, SUITE 700, PLANO, TX 75023-5248
- **Practice address phone:** (972) 964-3636
- **Practice address fax:** (972) 519-0127
- **Mailing address:** 5509 PLEASANT VALLEY DR, SUITE 700, PLANO, TX 75023-5248
- **Mailing address phone:** (972) 964-3636
- **Mailing address fax:** (972) 519-0127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 07/11/2007
