| Boulevard Dental Group Of Paul Aka Dds, & Ike Tomas Dds, Inc. | |
|
1180 Calimesa Blvd Calimesa CA 92320-1509 | |
| (909) 570-4087 | |
| (909) 570-9405 |
| Full Name | Boulevard Dental Group Of Paul Aka Dds, & Ike Tomas Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1180 Calimesa Blvd, Calimesa, California |
| Authorized Official Name and Position | Ike Tomas (CO-OWNER DDS) |
| Authorized Official Contact | 9095704087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulevard Dental Group Of Paul Aka Dds, & Ike Tomas Dds, Inc. 1180 Calimesa Blvd Calimesa CA 92320-1509 Ph: (909) 570-4087 | Boulevard Dental Group Of Paul Aka Dds, & Ike Tomas Dds, Inc. 1180 Calimesa Blvd Calimesa CA 92320-1509 Ph: (909) 570-4087 |
| NPI Number | 1336856947 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336856947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Sol Cohen-sedgh Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1044 Cherry Valley Blvd Ste 400, Calimesa, CA 92320 Phone: 310-820-9933 Fax: 310-820-0408 |