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Organization
DIANE BOVAL DDS A PROFESSIONAL DENTAL CORP
Active
Organization
DIANE BOVAL DDS A PROFESSIONAL DENTAL CORP
Active
Parent organization
DIANE BOVAL DDS A PROFESSIONAL DENTAL CORP
Other names
Gold Coast Dental, Riverside Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIANE BOVAL DDS A PROFESSIONAL DENTAL CORP
Authorized official
ALAN BOVAL (CEO)
(562) 905-8338
Entity
Organization
Contact information
Practice address
4595 LA SIERRA AVE, RIVERSIDE, CA 92505-2900
(951) 688-6000
(951) 688-6088
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
09/16/2020
Last updated
03/28/2026
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