DR. Editha Legaspi Boongaling, DMD

NPI #1366533358 in Vallejo, California

Provider Information

NPI Number: 1366533358
Entity Type: Individual
Name: DR. Editha Legaspi Boongaling, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Sep 27, 2006
Last Updated: Dec 17, 2019

Practice Location

Address: 2900 SONOMA BLVD
Address 2: SUITE A
City: Vallejo
State: California
ZIP Code: 94590
Phone: (707) 552-8684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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