Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN EDWIN BOLAND III, DDS
Active Sole ProprietorDR. JOHN EDWIN BOLAND III, DDS is a Pediatric Dentistry healthcare provider located in CORTE MADERA, California. NPI 1992717284 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CORTE MADERA, CA
Registration Details
- NPI Number
- 1992717284
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2006 (20.033767973017 yrs)
- Last Updated
- Jul 8, 2007
- License
-
22784 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
770 TAMALPAIS DRSUITE 404CORTE MADERA, CA, 949251700Browse CA providers · Browse ZIP 94925
- Phone
- 4159277711
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.