Individual
DR. TASHA W BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.M.S.D.
Contact information
Practice address
611 NAZARETH PIKE, NAZARETH, PA 18064-9002
(484) 293-0744
Mailing address
611 NAZARETH PIKE, NAZARETH, PA 18064-9002
(570) 994-2048
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22D102343800
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS036642
PA
Other
Enumeration date
09/11/2007
Last updated
10/31/2007
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