Taruna S Bolding Dds Pa | |
5229 Saint Andrews Dr Fayetteville AR 72704-6219 | |
(479) 957-4612 | |
Not Available |
Full Name | Taruna S Bolding Dds Pa |
---|---|
Speciality | Dentist - General Practice |
Location | 5229 Saint Andrews Dr, Fayetteville, Arkansas |
Authorized Official Name and Position | Taruna S Bolding (OWNER) |
Authorized Official Contact | 4799574612 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Taruna S Bolding Dds Pa 5229 Saint Andrews Dr Fayetteville AR 72704-6219 Ph: (479) 957-4612 | Taruna S Bolding Dds Pa 5229 Saint Andrews Dr Fayetteville AR 72704-6219 Ph: (479) 957-4612 |
NPI Number | 1457864100 |
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Provider Enumeration Date | 11/15/2017 |
Last Update Date | 12/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457864100 | NPI | - | NPPES |
163704608 | Medicaid | AR | |
3062 | Other | AR | AR DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3062 (Arkansas) | Primary |
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