Organization
JASON T. BOLDING DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON T BOLDING DDS PC (OWNER)
(501) 279-7779
Entity
Organization
Contact information
Practice address
407 LLAMA DR, SUITE 101, SEARCY, AR 72143-4786
(501) 279-7779
(501) 279-2047
Mailing address
PO BOX 99, LOWELL, AR 72745-0099
(479) 717-1175
(479) 725-2395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3222
AR
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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