Individual
DR. MCKENZIE BOLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7333 SHALLOWFORD RD, CHATTANOOGA, TN 37421-2627
(423) 822-8489
Mailing address
668 DAYCO DR, DAYTON, TN 37321-6733
(423) 618-7754
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10259
TN
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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