Organization
WM BOLAK DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MICHAEL BOLAK DMD (SOLE MEMBER)
(972) 964-3636
Entity
Organization
Contact information
Practice address
5501 INDEPENDENCE PKWY, PLANO, TX 75023-5470
(972) 964-3636
(972) 499-2420
Mailing address
5501 INDEPENDENCE PKWY STE 203, PLANO, TX 75023-5470
(972) 964-3636
(972) 499-2420
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
17551
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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