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Dr. David R Bolla, DDS
General Practice Dentistry in Port Huron, Michigan
NPI 1366658171

David R Bolla is a General Practice Dentistry based in Port Huron, MI and is specialized in General Practice. David R Bolla practices in Port Huron, MI and has the professional credentials of DDS. The NPI Number for David R Bolla is 1366658171 and holds a License No. 012328 (Michigan).

The current practice location address for David R Bolla is 1125 Thomas Edison Dr, Port Huron, MI and can be reached out via phone at 810-982-9821 and via fax at 810-982-9645.

Location: 1125 Thomas Edison Dr, Port Huron, MI, 48060-8500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366658171
Provider Name
David R Bolla
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1125 Thomas Edison Dr, Port Huron, MI, 48060-8500
Phone Number
810-982-9821
Fax Number
810-982-9645
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1125 Thomas Edison Dr
City
Port Huron
State
Michigan
Zip
48060-8500
Phone Number
810-982-9821
Fax Number
810-982-9645
person
Provider Business Mailing Address Details
Address
1125 Thomas Edison Dr
City
Port Huron
State
Michigan
Zip
48060-8500
Phone Number
810-982-9821
Fax Number
810-982-9645
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
012328 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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