Individual
DR. CRAIG MATTHEW BOLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5800 FAIRFIELD AVE, SUITE 220, FORT WAYNE, IN 46807-3400
(260) 456-6073
Mailing address
11121 EAGLE RIVER RUN, FORT WAYNE, IN 46845-8742
(260) 484-8490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010634A
IN
Other
Enumeration date
02/21/2007
Last updated
04/19/2017
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