Individual
DR. JOSEPH BOLOGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
117 N ROCKFISH ST, WALLACE, NC 28466-2917
(910) 285-5649
Mailing address
117 N ROCKFISH ST, WALLACE, NC 28466-2917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
046784
NY
1223G0001X
General Practice Dentistry
Primary
7828
NC
1223G0001X
General Practice Dentistry
DNOO14422
FL
Other
Enumeration date
04/11/2007
Last updated
05/03/2022
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