Individual
DR. LUTHER JACK BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
1151 N BUCKNER BLVD, SUITE 406, DALLAS, TX 75218-3425
(214) 328-6354
(214) 327-7088
Mailing address
1151 N BUCKNER BLVD, SUITE 406, DALLAS, TX 75218-3425
(214) 328-6354
(214) 327-7088
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
MA002685L
PA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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