Individual
ANNE-MARIE BOLLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS, PHD
Contact information
Practice address
805 164TH ST SE, SUITE 205, MILL CREEK, WA 98012-6316
(425) 741-8209
Mailing address
805 164TH ST SE, SUITE 205, MILL CREEK, WA 98012-6316
(425) 741-8209
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00006513
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5035092
—
WA
Enumeration date
07/28/2006
Last updated
07/08/2007
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