Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN A BOGHOSSIAN, DDS
Active Sole ProprietorDR. JOHN A BOGHOSSIAN, DDS is a Oral & Maxillofacial Surgery healthcare provider located in SAN CARLOS, California. NPI 1598771875 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · SAN CARLOS, CA
Registration Details
- NPI Number
- 1598771875
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (20.078080718122 yrs)
- Last Updated
- Jul 8, 2007
- License
-
36640 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1650 LAUREL ST STE BSAN CARLOS, CA, 940705217Browse CA providers · Browse ZIP 94070
- Phone
- 6505950163
- Fax
- 6505950256
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.