Individual
DR. JEFFREY T. BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
455 N YORK ST, ELMHURST, IL 60126-2003
(630) 279-5577
(630) 279-5599
Mailing address
455 N YORK ST, ELMHURST, IL 60126-2003
(630) 279-5577
(630) 279-5599
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021001836
IL
Other
Enumeration date
03/18/2008
Last updated
12/22/2014
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