| NPI | 1497245997 |
|---|---|
| Doing Business As | BOLD DENTAL |
| Entity Type | Organization |
| Authorized Contact | VAN MICHAEL MCQUEEN Owner 870-926-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 4178) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |