Diane Boval DDS a Professional Dental Corp
NPI #1154102531 in Northridge, California
Provider Information
- NPI Number
- 1154102531
- Entity Type
- Organization
- Organization Name
- Diane Boval DDS a Professional Dental Corp
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DIANE BOVAL DDS A PROFESSIONAL DENT
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 11, 2023
- Last Updated
- Oct 11, 2023
Practice Location
- Address
- 10149 RESEDA BLVD
- City
- Northridge
- State
- California
- ZIP Code
- 91324-1454
- Phone
- (562) 356-0948
Authorized Official
- Name
- ALAN BOVAL
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (562) 356-0948
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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