| Dr Jack Holland Boatman, DDS | |
|
122 Avenida Cabrillo, San Clemente, CA 92672-4039 | |
| (949) 498-4110 | |
| (949) 498-8657 |
| Full Name | Dr Jack Holland Boatman |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 122 Avenida Cabrillo, San Clemente, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841391018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26810 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Holland Boatman, DDS 122 Avenida Cabrillo, San Clemente, CA 92672-4039 Ph: (949) 498-4110 | Dr Jack Holland Boatman, DDS 122 Avenida Cabrillo, San Clemente, CA 92672-4039 Ph: (949) 498-4110 |
Dr. Ellen Julienne Glynn, DDS MDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 655 Camino De Los Mares Ste 119, San Clemente, CA 92673 Phone: 949-488-0600 | |
Dr. Brian James Rice, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 150 Ave Delmar, Ste C, San Clemente, CA 92672 Phone: 949-492-0330 Fax: 949-492-1362 | |
Dr. Wyatt D. Simons, DDS, PC Dentist Medicare: Not Enrolled in Medicare Practice Location: 2710 Camino Capistrano, San Clemente, CA 92672 Phone: 949-498-2115 Fax: 949-498-2473 | |
Dr. Jacob K. Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 903 Calle Amanecer Ste 160, San Clemente, CA 92673 Phone: 949-361-2838 Fax: 949-361-2838 | |
Dr. John Stewart Evered, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 227 Via Ballena, San Clemente, CA 92672 Phone: 619-342-6612 | |
Dr. Criag R Bergquist, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 665 Camino De Los Mares #204, San Clemente, CA 92673 Phone: 949-661-9680 Fax: 949-661-4872 | |
Dr. Carla Peterson Bryan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 657 Camino De Las Mares, Suite 138, San Clemente, CA 92673 Phone: 949-487-6780 Fax: 949-487-6781 |