| Kelly V Boulom, DDS | |
|
2432 Jensen Ave, Sanger, CA 93657-2249 | |
| (559) 875-5538 | |
| Not Available |
| Full Name | Kelly V Boulom |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2432 Jensen Ave, Sanger, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821169038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | BB8039023 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly V Boulom, DDS 2713 Goshen Ave, Clovis, CA 93611-8177 Ph: (650) 515-1430 | Kelly V Boulom, DDS 2432 Jensen Ave, Sanger, CA 93657-2249 Ph: (559) 875-5538 |
Dr. Herbert Lance Crooks, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2434 Jensen, Sanger, CA 93657 Phone: 559-875-5538 Fax: 559-875-1575 | |
Dr. Timothy Edward Prewitt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1615 7th St, Sanger, CA 93657 Phone: 559-875-3927 | |
Dr. Kim Hoang Tran, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 263 Academy Ave, Sanger, CA 93657 Phone: 559-876-1031 Fax: 559-876-1341 | |
Ramandeep Gill, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2432 Jensen Ave, Sanger, CA 93657 Phone: 559-875-5538 | |
Myra R. Van Hoff, DDS Dentist Medicare: Medicare Enrolled Practice Location: 801 N St, Sanger, CA 93657 Phone: 559-876-1777 Fax: 559-876-2763 | |
Donghwan Kim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1570 7th St, Sanger, CA 93657 Phone: 800-492-4227 | |
Linda Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 625 P St, Sanger, CA 93657 Phone: 310-741-1662 |