Individual
DR. HARRISON ROBERT BOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
450 7TH AVE, SUITE 304, NEW YORK, NY 10123-0101
(212) 268-8120
(212) 868-2053
Mailing address
450 7TH AVE, SUITE 304, NEW YORK, NY 10123-0101
(212) 268-8120
(212) 868-2053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040663
NY
Other
Enumeration date
05/30/2012
Last updated
04/01/2013
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