Individual
DR. COOPER FRANCIS BOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4722 FAUNTLEROY WAY SW STE A, SEATTLE, WA 98116-4667
(206) 928-6242
Mailing address
4722 FAUNTLEROY WAY SW STE A, SEATTLE, WA 98116-4667
(206) 928-6242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
25944
TX
1223G0001X
General Practice Dentistry
8407
CO
1223G0001X
General Practice Dentistry
Primary
DE60350473
WA
Other
Enumeration date
08/02/2005
Last updated
10/26/2022
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