Individual
DR. BART R BOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6081 ORANGE AVE, SUITE 1, CYPRESS, CA 90630-3378
(714) 826-6770
(714) 826-6910
Mailing address
6081 ORANGE AVE, SUITE 1, CYPRESS, CA 90630-3378
(714) 826-6770
(714) 826-6910
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
50041
CA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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