Organization
BOLINGER DENTAL L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG BOLINGER DDS (PRESIDENT/OWNER)
(260) 456-6073
Entity
Organization
Contact information
Practice address
5800 FAIRFIELD AVE., SUITE 220, FORT WAYNE, IN 46807-3417
(260) 456-6073
(260) 744-9251
Mailing address
5800 FAIRFIELD AVE., SUITE 220, FORT WAYNE, IN 46807-3417
(260) 456-6073
(260) 744-9251
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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