DR. Gregory Bouldien, DDS MS
NPI #1013023837 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1013023837
- Entity Type
- Individual
- Name
- DR. Gregory Bouldien, DDS MS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DDS MS
- Enumeration Date
- Aug 22, 2006
- Last Updated
- Mar 17, 2018
Practice Location
- Address
- 9880 GOODMAN RD
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654-1722
- Phone
- (662) 470-4919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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