Individual
DR. ALJERNON JOHN BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MPH
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(312) 996-0406
(312) 996-0178
Mailing address
1455 W CUYLER AVE, # 1E, CHICAGO, IL 60613-1917
(773) 348-3583
(773) 348-3615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13698
MA
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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