Gregory K. Bollen, Dds, P.a.
NPI #1518379452 in Jacksonville, Arkansas
Provider Information
- NPI Number
- 1518379452
- Entity Type
- Organization
- Organization Name
- Gregory K. Bollen, Dds, P.a.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 27, 2014
- Last Updated
- May 27, 2014
Practice Location
- Address
- 809 MARSHALL RD
- City
- Jacksonville
- State
- Arkansas
- ZIP Code
- 72076-3744
- Phone
- (501) 982-4444
Authorized Official
- Name
- MISS LISA ANN BROOKS, RDH
- Title
- OFFICE MGR.
- Phone
- (501) 982-4444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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