Individual provider · Type 1 NPI

David R. Bolla, DDS

General Practice Dentistry · Port Huron, MI

NPI number 1366658171 Active

Practice location

1125 Thomas Edison Dr
Port Huron, MI 48060-8500

Call (810) 982-9821 Map

Fax (810) 982-9645

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X012328 (MI)

General Practice Dentistry: 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.

3 other providers at this address

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About NPI 1366658171

David R. Bolla, DDS's National Provider Identifier is 1366658171, issued on May 16, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Port Huron, MI. The record was last updated on Jul 8, 2007.