Bolds, Monica Latrise
Bolds, Monica Latrise is an sole proprietor health care provider with primary practice located at 2600 Milscott Dr Apt 1234 , Decatur GA 30033. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Bolds, Monica Latrise can be contacted via phone (917) 716-0899.Contact Information
Primary practice address
2600 Milscott Dr Apt 1234
Decatur GA 30033
Phone: (917) 716-0899
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 9074 | North Carolina |
| Dental Providers / General Practice | 1223G0001X | 22D102185700 | New Jersey |
| Dental Providers / General Practice | 1223G0001X | DN015502 | Georgia |
Profile Details
| NPI number | 1285626598 |
|---|---|
| LBN Legal business name | Bolds, Monica Latrise |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jan 15th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285626598 | NPPES |
| New Jersey | Other | 731712172 | TAX IDENTIFICATION |
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