Individual
DR. WINNIE C BOLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
214 PARKER DR, LAGRANGE, KY 40031-1200
(502) 222-2216
(502) 222-2116
Mailing address
214 PARKER DR, LAGRANGE, KY 40031-1200
(502) 222-2216
(502) 222-2116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7996
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34-1978044
TAX ID
KY
Enumeration date
07/06/2006
Last updated
09/04/2008
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