Individual
DR. JOSEPH RAYMOND BOLDT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
69 FAIRFIELD RD, GREENWICH, CT 06830-4855
(203) 869-1774
Mailing address
69 FAIRFIELD RD, GREENWICH, CT 06830-4855
(203) 869-1774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5234
CT
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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