Individual
MRS. CAROLYN MARIE BOLEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2401 HAWKINS POINT RD, BLDG. 28B, CURTIS BAY, MD 21226-1797
(410) 636-3161
(410) 636-7868
Mailing address
8919 JEFF MAR DR, GLEN BURNIE, MD 21061-4216
(410) 760-9692
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402003016
VA
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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