Organization
KENNETH D BOLTZ OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH D BOLTS OD (PRESIDENT)
(614) 284-0794
Entity
Organization
Contact information
Practice address
5775 PERIMETER DR, SUITE 160, DUBLIN, OH 43017-3238
(614) 763-5775
(614) 675-3338
Mailing address
5775 PERIMETER DR, SUITE 160, DUBLIN, OH 43017-3238
(614) 763-5775
(614) 675-3338
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3782
OH
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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