Organization
BOERO & PIERI DDS A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY G BOERO DDS (OWNER)
(415) 454-8640
Entity
Organization
Contact information
Practice address
908 E STREET, SAN RAFAEL, CA 94901
(415) 454-8640
(415) 457-3241
Mailing address
908 E STREET, SAN RAFAEL, CA 94901
(415) 454-8640
(415) 457-3241
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
18450
CA
122300000X
Dentist
Primary
219797
CA
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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