Individual
DR. JORDAN JEFFREY BOLGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13899 HIGHWAY 15 S FRONTAGE RD, SAVAGE, MN 55378-5537
(952) 440-2292
Mailing address
1101 MAIN ST NE UNIT 409, MINNEAPOLIS, MN 55413-1489
(952) 288-9220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14459
MN
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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