Individual
DR. THOMAS RICHARD BOLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., MD
Contact information
Practice address
6022 W MAPLE RD STE 405, WEST BLOOMFIELD, MI 48322-4408
(248) 855-2006
(248) 855-0571
Mailing address
6022 W MAPLE RD STE 405, WEST BLOOMFIELD, MI 48322-4408
(248) 855-2006
(248) 855-0571
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901020176
MI
Other
Enumeration date
05/11/2009
Last updated
06/19/2025
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