Individual
CARLOS A BOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 420-2100
(413) 533-6375
Mailing address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 420-2100
(413) 533-6375
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
DL12955
MA
1223D0001X
Public Health Dentistry
Primary
DL15241
MA
Other
Enumeration date
07/02/2014
Last updated
06/23/2023
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