Individual
SARA BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, CMT
Contact information
Practice address
2038 LAKE MURRAY BLVD APT 12205, COLUMBIA, SC 29212-0853
(803) 673-4999
Mailing address
PO BOX 481, IRMO, SC 29063-0481
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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