Individual
DR. SCOTT BRIAN BOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
604 E BOULEVARD ST., SUITE B, KOKOMO, IN 46902-2286
(765) 864-2328
(765) 864-2333
Mailing address
1182 N 850 EAST, GREENTOWN, IN 46936-8828
(765) 628-3204
(765) 864-2328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008297A
IN
Other
Enumeration date
10/16/2006
Last updated
01/06/2009
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