Individual
DR. JORDAN ALAN BOLLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1020 S 40TH AVE STE F, YAKIMA, WA 98908-3800
(509) 965-7668
(509) 965-7520
Mailing address
1020 S 40TH AVE STE F, YAKIMA, WA 98908-3800
(509) 965-7668
(509) 965-7520
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/12/2011
Last updated
10/07/2013
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