Individual
DR. RAY T BOLLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
410 S PEARL AVE, JOPLIN, MO 64801-2541
(417) 782-2021
(417) 782-9850
Mailing address
410 S PEARL AVE, JOPLIN, MO 64801-2541
(417) 782-2021
(417) 782-9850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2003011288
MO
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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