Individual
DR. SCOTTY L BOLDING
Active
Individual
DR. SCOTTY L BOLDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
16037
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22D102335600
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3025
AR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN22477
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
16037
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
2001031902
MO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
22D102335600
NJ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
3025
AR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DN22477
FL
Other
Enumeration date
01/05/2007
Last updated
05/12/2023
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