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Dr. Jordan Alan Bolles, DDS
Student in an Organized Health Care Education/Training Program in Yakima, Washington
NPI 1477841476

Jordan Alan Bolles is a Student in an Organized Health Care Education/Training Program based in Yakima, WA. Jordan Alan Bolles practices in Yakima, WA and has the professional credentials of DDS. The NPI Number for Jordan Alan Bolles is 1477841476 and holds a License No. (Washington).

The current practice location address for Jordan Alan Bolles is 1020 S 40Th Ave Ste F, Yakima, WA and can be reached out via phone at 509-965-7668 and via fax at 509-965-7520.

Location: 1020 S 40Th Ave Ste F, Yakima, WA, 98908-3800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477841476
Provider Name
Jordan Alan Bolles
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1020 S 40Th Ave Ste F, Yakima, WA, 98908-3800
Phone Number
509-965-7668
Fax Number
509-965-7520
Provider Enumeration Date
07/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1020 S 40Th Ave Ste F
City
Yakima
State
Washington
Zip
98908-3800
Phone Number
509-965-7668
Fax Number
509-965-7520
person
Provider Business Mailing Address Details
Address
1020 S 40Th Ave Ste F
City
Yakima
State
Washington
Zip
98908-3800
Phone Number
509-965-7668
Fax Number
509-965-7520
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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