| Leo H. Boger, Dds, Inc. | |
|
2074 Forest Ave Suite 3 San Jose CA 95128-4811 | |
| (408) 286-3229 | |
| Not Available |
| Full Name | Leo H. Boger, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2074 Forest Ave, San Jose, California |
| Authorized Official Name and Position | Leo H. Boger (PRESIDENT) |
| Authorized Official Contact | 4082863229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leo H. Boger, Dds, Inc. 2074 Forest Ave Suite 3 San Jose CA 95128-4811 Ph: (408) 286-3229 | Leo H. Boger, Dds, Inc. 2074 Forest Ave Suite 3 San Jose CA 95128-4811 Ph: (408) 286-3229 |
| NPI Number | 1649486689 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649486689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 18524 (California) | Primary |
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