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Organization
DIANE BOVAL DDS A COMMUNITY DENTAL CORP.
Active
Organization
DIANE BOVAL DDS A COMMUNITY DENTAL CORP.
Active
Parent organization
DIANE BOVAL DDS A COMMUNITY DENTA
Other names
Gold Coast Dental Irvine
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIANE BOVAL DDS A COMMUNITY DENTA
Authorized official
ALAN BOVAL (CHIEF EXECUTIVE OFFICER)
(562) 356-0948
Entity
Organization
Contact information
Practice address
113 WATERWORKS WAY, SUITE 355, IRVINE, CA 92618-1367
(949) 284-2913
(949) 954-3092
Mailing address
901 W WHITTIER BLVD, LA HABRA, CA 90631-3743
(562) 356-0948
(866) 817-3581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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