Individual
DR. CAROL BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2890
Mailing address
316 NEWTON AVE, COLLINGSWOOD, NJ 08108-3059
(856) 889-8777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02098300
NJ
122300000X
Dentist
Primary
DS043950
PA
Other
Enumeration date
02/19/2007
Last updated
01/02/2023
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