Individual
DR. JUSTINA ARDOIN BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1911 SKYLAND BLVD E STE A3, TUSCALOOSA, AL 35405-5865
(205) 267-5985
Mailing address
180 ROSCOMMON RD, TUSCALOOSA, AL 35405-6126
(601) 794-7844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.0006791-C1
AL
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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