Individual
DR. JOHN EDWIN BOLAND III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
770 TAMALPAIS DR, SUITE 404, CORTE MADERA, CA 94925-1700
(415) 927-7711
Mailing address
770 TAMALPAIS DR, SUITE 404, CORTE MADERA, CA 94925-1700
(415) 927-7711
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22784
CA
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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