Individual
GREGORY K BOLLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
809 MARSHALL ROAD, JACKSONVILLE, AR 72076
(501) 982-4444
(501) 982-6616
Mailing address
809 MARSHALL ROAD, JACKSONVILLE, AR 72076
(501) 982-4444
(501) 982-6616
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2890
AR
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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