DR. Tiffany L Bolen, DMD

NPI #1215962659 in Decatur, Georgia

Provider Information

NPI Number: 1215962659
Entity Type: Individual
Name: DR. Tiffany L Bolen, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 755 COMMERCE DR STE 403
City: Decatur
State: Georgia
ZIP Code: 30030-2617
Phone: (404) 377-1147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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