Individual
DR. J. SPENCER BOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4501 W WEDGE DR, FAYETTEVILLE, AR 72704-7532
(502) 468-3170
Mailing address
4501 W WEDGE DR, FAYETTEVILLE, AR 72704-7532
(502) 468-3170
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3784
AR
Other
Enumeration date
05/01/2007
Last updated
09/28/2010
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