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Individual

DR. JOSEPH M. BOLIL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
12908 FITZWATER DR, NOKESVILLE, VA 20181-2241
(703) 594-2151
(703) 594-2991
Mailing address
12908 FITZWATER DR, NOKESVILLE, VA 20181-2241
(703) 594-2151
(703) 594-2991

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6257
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7803168
VA
Enumeration date
12/08/2005
Last updated
07/08/2007
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