Individual
DR. IAN MICHAEL BOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
44 OLD RIDGEFIELD RD, WILTON, CT 06897-3055
(203) 762-2322
Mailing address
109 HILLSIDE AVE, MILFORD, CT 06460-7808
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
062078
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12913
CT
Other
Enumeration date
07/29/2021
Last updated
03/03/2022
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