| Thomas Boone | |
|
1076 E 1st St Ste D Tustin CA 92780-3852 | |
| (714) 665-4200 | |
| Not Available |
| Full Name | Thomas Boone |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1076 E 1st St Ste D, Tustin, California |
| Authorized Official Name and Position | Thomas Michael Boone (DENTIST/OWNER) |
| Authorized Official Contact | 7146069194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Boone Po Box 1543 Sunset Beach CA 90742-1543 Ph: (714) 606-9194 | Thomas Boone 1076 E 1st St Ste D Tustin CA 92780-3852 Ph: (714) 665-4200 |
| NPI Number | 1285932954 |
|---|---|
| Provider Enumeration Date | 03/04/2011 |
| Last Update Date | 10/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285932954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 34661 (California) | Primary |
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