Individual
DR. NATHAN BLAIR BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1100 NW JEFFERSON CT, BLUE SPRINGS, MO 64015-6382
(816) 229-3828
Mailing address
1100 NW JEFFERSON CT, BLUE SPRINGS, MO 64015-6382
(816) 229-3828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2008015523
MO
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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