Jw Bolton DDS PA
NPI #1467934919 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1467934919
- Entity Type
- Organization
- Organization Name
- Jw Bolton DDS PA
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Aug 31, 2018
- Last Updated
- Aug 31, 2018
Practice Location
- Address
- 200 SOLANA RD
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32082-2232
- Phone
- (904) 273-8881
Authorized Official
- Name
- J W BOLTON, DDS
- Title
- OWNER
- Phone
- (904) 273-8881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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