Individual
DR. CYNTHIA ANN BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1123 S MAIN ST, REIDSVILLE, NC 27320-5340
(336) 349-9248
(336) 349-6440
Mailing address
1123 S MAIN ST, REIDSVILLE, NC 27320-5340
(336) 349-9248
(336) 349-6440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5895
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990856
—
NC
01
—
90856
BLUE CROSS BLUE SHIELD #
NC
Enumeration date
01/15/2007
Last updated
07/09/2007
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