Individual
MICHAEL GEORGE BOLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,P.A
Contact information
Practice address
700 EXPOSITION PL STE 191, RALEIGH, NC 27615-1563
(919) 847-0150
Mailing address
700 EXPOSITION PL STE 191, RALEIGH, NC 27615-1563
(919) 847-0150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3649
NC
Other
Enumeration date
08/09/2006
Last updated
11/05/2021
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