Organization
DAVID R BOLTON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RICHARD BOLTON DDS (DENTIST OWNER)
(605) 334-6865
Entity
Organization
Contact information
Practice address
2005 WEST 42ND STREET, SIOUX FALLS, SD 57105
(605) 334-6865
(605) 334-7611
Mailing address
2005 WEST 42ND STREET, SIOUX FALLS, SD 57105
(605) 334-6865
(605) 334-7611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
M407
SD
1223G0001X
General Practice Dentistry
Primary
M407
SD
Other
Enumeration date
02/16/2007
Last updated
09/20/2011
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