Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY V BOULOM, DDS
ActiveKELLY V BOULOM, DDS is a General Dentistry healthcare provider located in SANGER, California. NPI 1821169038 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SANGER, CA
Registration Details
- NPI Number
- 1821169038
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2006 (19.575764172146 yrs)
- Last Updated
- Jul 8, 2007
- License
-
BB8039023 (CA)
Practice Information
- Address
-
2432 JENSEN AVESANGER, CA, 936572249Browse CA providers · Browse ZIP 93657
- Phone
- 5598755538
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SANGER, CA
| Name | Credential | NPI |
|---|---|---|
| DR. HERBERT LANCE CROOKS | D.D.S. | 1023102654 |
| MYRA R. VAN HOFF | DDS | 1144394602 |
| DR. MARIA LOURDES BRIZ DIMATERA | D.M.D. | 1811053929 |
| DEOGSOO ROH | D.D.S | 1568501872 |
| DR. RANDALL EUGENE PREWITT | DDS | 1942334313 |
| DR. RICHARD EUGENE HOYT | DDS | 1770708323 |
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.