| NPI | 1699491316 |
|---|---|
| Doing Business As | REBECCA P. BOLON DDS MSD PC |
| Entity Type | Organization |
| Authorized Contact | DAVID PADRICK Office Manager 317-374-3829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |