Individual
JAMES TYLER BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
220 RUCCIO WAY, SUITE 120, LEXINGTON, KY 40503-3584
(859) 309-1095
Mailing address
220 RUCCIO WAY, SUITE 120, LEXINGTON, KY 40503-3584
(859) 309-1095
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9639
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2013
Last updated
01/04/2016
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