Gregory K Bollen, DDS Valid NPI

Individual provider · Dentist · Jacksonville, AR

NPI

1154426773

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

2890 (AR)

Sex

Male

Sole proprietor

No

Enumerated

2006-09-14

Last updated

2007-07-08