Gregory Bolden, D.D.S. Valid NPI

Individual provider · Dentist · Detroit, MI

NPI

1114336344

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

2901021454 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2014-08-13

Last updated

2015-10-16