Individual
DR. ROBERT BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1150 TARPON CENTER DR, UNIT 701, VENICE, FL 34285-1112
(941) 400-9554
Mailing address
1150 TARPON CENTER DR, UNIT 701, VENICE, FL 34285-1112
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7252
NC
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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