Boulevard Dental Group Of Paul Aka Dds, & Ike Tomas Dds, Inc. | |
1180 Calimesa Blvd Calimesa CA 92320-1509 | |
(909) 570-4087 | |
(909) 570-9405 |
Full Name | Boulevard Dental Group Of Paul Aka Dds, & Ike Tomas Dds, Inc. |
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Speciality | Dentist - General Practice |
Location | 1180 Calimesa Blvd, Calimesa, California |
Authorized Official Name and Position | Ike Tomas (CO-OWNER DDS) |
Authorized Official Contact | 9095704087 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boulevard Dental Group Of Paul Aka Dds, & Ike Tomas Dds, Inc. 1180 Calimesa Blvd Calimesa CA 92320-1509 Ph: (909) 570-4087 | Boulevard Dental Group Of Paul Aka Dds, & Ike Tomas Dds, Inc. 1180 Calimesa Blvd Calimesa CA 92320-1509 Ph: (909) 570-4087 |
NPI Number | 1336856947 |
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Provider Enumeration Date | 11/02/2022 |
Last Update Date | 11/02/2022 |
Identifier | Type | State | Issuer |
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1336856947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Sol Cohen-sedgh Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1044 Cherry Valley Blvd Ste 400, Calimesa, CA 92320 Phone: 310-820-9933 Fax: 310-820-0408 |