Individual
DANIEL L BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
845 E. 16TH ST, HOLLAND, MI 49423
(616) 392-2381
(616) 392-3748
Mailing address
845 E 16TH ST, HOLLAND, MI 49423
(616) 392-2381
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901017602
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124383607
—
MI
Enumeration date
11/14/2006
Last updated
09/28/2021
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