Individual
DR. REBECCA P BOLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS MSD
Contact information
Practice address
9311 N. MERIDIAN ST., SUITE 200, INDIANAPOLIS, IN 46260
(317) 846-6107
(317) 846-6128
Mailing address
9311 N. MERIDIAN ST., SUITE 200, INDIANAPOLIS, IN 46260
(317) 846-6107
(317) 846-6128
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12009069
IN
Other
Enumeration date
08/17/2006
Last updated
09/21/2015
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