# AMANDA B. BOLTWOOD DDS PLLC

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

## Provider details

- **NPI number:** 1841606332
- **Authorized official:** DR. AMANDA BRIANNE BOLTWOOD DDS (OWNER)
- **Authorized official phone:** (248) 656-2244

## Contact information

- **Practice address:** 2490 WALTON BLVD, SUITE 202, ROCHESTER HILLS, MI 48309-1484
- **Practice address phone:** (248) 656-2244
- **Practice address fax:** (248) 656-0225
- **Mailing address:** 2490 WALTON BLVD, SUITE 202, ROCHESTER HILLS, MI 48309-1484
- **Mailing address phone:** (248) 656-2244
- **Mailing address fax:** (248) 656-0225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901019600 | MI | Yes |

## Other

- **Enumeration date:** 07/07/2014
- **Last updated:** 07/07/2014