Individual
DR. DAN K. BOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6800 GULFPORT BLVD S, SUITE 201, SOUTH PASADENA, FL 33707-2163
(772) 240-2664
Mailing address
6800 GULFPORT BLVD S, SUITE 201, SOUTH PASADENA, FL 33707-2163
(772) 240-2664
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN6730
FL
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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