Diane Boval DDS a Professional Dental Corp
NPI #1851124275 in Azusa, California
Provider Information
- NPI Number
- 1851124275
- 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 DEN
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 21, 2024
- Last Updated
- Aug 21, 2024
Practice Location
- Address
- 613 N. AZUSA AVENUE, SUITE B
- City
- Azusa
- State
- California
- ZIP Code
- 91702-2968
- Phone
- (626) 334-2171
Authorized Official
- Name
- ALAN BOVAL
- Title
- TREASURER
- Phone
- (562) 356-0948
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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