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Organization
N. BOLOORCHI D.D.S. INC.
Active
Organization
N. BOLOORCHI D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEGAR BOLOORCHI DDS (DENTIST ANESTHESIOLGIST)
(626) 354-1440
Entity
Organization
Contact information
Practice address
1800 SAN MIGUEL DR, WALNUT CREEK, CA 94596-8606
(925) 518-3350
Mailing address
17 CAPTAINS CV, OAKLAND, CA 94618-2311
(626) 354-1440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619126943
—
CA
Enumeration date
11/11/2020
Last updated
08/26/2021
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