MICHAEL ROBERT BOLDT

MEDFORD, OR
NPI1336167329
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D6349)
Enumeration Date2006-07-17
Last Update Date2007-07-08
Business Address
Dr. MICHAEL ROBERT BOLDT DMD
922 E MAIN ST
MEDFORD, OR 97504-7136
Phone number: 541-772-2756
Mailing Address
Dr. MICHAEL ROBERT BOLDT DMD
922 E MAIN ST
MEDFORD, OR 97504-7136
Phone number: 541-772-2756
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