Organization
BOLES AND HAM DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN P POWELL (OFFICE MANAGER)
(252) 291-2892
Entity
Organization
Contact information
Practice address
109 BRENTWOOD CENTER LANE N, WILSON, NC 27896
(252) 291-2892
(252) 399-7624
Mailing address
109 BRENTWOOD CENTER LANE N, WILSON, NC 27896
(252) 291-2892
(252) 399-7624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NC
Other
Enumeration date
02/09/2006
Last updated
08/22/2020
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