Organization
AMANDA B. BOLTWOOD DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA BRIANNE BOLTWOOD DDS (OWNER)
(248) 656-2244
Entity
Organization
Contact information
Practice address
2490 WALTON BLVD, SUITE 202, ROCHESTER HILLS, MI 48309-1484
(248) 656-2244
(248) 656-0225
Mailing address
2490 WALTON BLVD, SUITE 202, ROCHESTER HILLS, MI 48309-1484
(248) 656-2244
(248) 656-0225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019600
MI
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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