DR. Jordan Bolletta, DMD

NPI #1992376628 in Georgetown, Texas

Provider Information

NPI Number: 1992376628
Entity Type: Individual
Name: DR. Jordan Bolletta, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 4, 2021
Last Updated: Jul 4, 2021

Practice Location

Address: 5725 WILLIAMS DR STE 101
City: Georgetown
State: Texas
ZIP Code: 78633-2216
Phone: (512) 863-7777

Specialties & Taxonomy Codes

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

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