Bolden, Shaletha M

Bolden, Shaletha M is an sole proprietor health care provider with primary practice located at 1425 Riverstone Pkwy Ste 200 , Canton GA 30114-5611. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Bolden, Shaletha M can be contacted via phone (770) 479-0600.

Contact Information

Primary practice address
1425 Riverstone Pkwy Ste 200 Canton GA 30114-5611
Phone: (770) 479-0600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 27790 Texas
Dental Providers / Endodontics 1223E0200X 8802 Tennessee
Dental Providers / Endodontics 1223E0200X DN015429 Georgia

Profile Details

NPI number 1013171438
LBN Legal business name Bolden, Shaletha M
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2008
Last updated Jul 21st, 2022 - about 4 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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