Individual
DR. MICHAEL LAURENCE BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
136 SAINT JAMES PL, BROOKLYN, NY 11238-1811
(718) 783-4348
(781) 783-4593
Mailing address
136 SAINT JAMES PL, BROOKLYN, NY 11238-1811
(718) 783-4348
(781) 783-4593
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
040702
NY
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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