Bolesta, Jonathan
Bolesta, Jonathan is an individual health care provider with primary practice located at 5940 W Union Hills Dr B190, Glendale AZ 85308-1308. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bolesta, Jonathan can be contacted via phone (623) 455-5717.Contact Information
Primary practice address
5940 W Union Hills Dr B190
Glendale AZ 85308-1308
Phone: (623) 455-5717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 7387 | Arizona |
Profile Details
| NPI number | 1164616405 |
|---|---|
| LBN Legal business name | Bolesta, Jonathan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2007 |
| Last updated | Feb 21st, 2011 - about 14 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.
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