Individual provider · Type 1 NPI

Jordan Bolletta, DMD

General Practice Dentistry · Georgetown, TX

NPI number 1992376628 Active

About NPI 1992376628

Jordan Bolletta, DMD's National Provider Identifier is 1992376628, issued on Jul 4, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Georgetown, TX. The record was last updated on Jul 4, 2021.