| Diane Boval Dds A Community Dental Corp. | |
|
113 Waterworks Way Suite 355 Irvine CA 92618-1367 | |
| (949) 284-2913 | |
| (949) 954-3092 |
| Full Name | Diane Boval Dds A Community Dental Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 113 Waterworks Way, Irvine, California |
| Authorized Official Name and Position | Alan Boval (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5623560948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Boval Dds A Community Dental Corp. 901 W Whittier Blvd La Habra CA 90631-3743 Ph: (562) 356-0948 | Diane Boval Dds A Community Dental Corp. 113 Waterworks Way Suite 355 Irvine CA 92618-1367 Ph: (949) 284-2913 |
| NPI Number | 1043094428 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043094428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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