Organization
BOEHM DENTAL SPECIALISTS PC
Active
Other names
Fontana Periodontics and Implantology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOBIAS K BOEHM DDS (OWNER DENTIST)
(909) 740-4476
Entity
Organization
Contact information
Practice address
16465 SIERRA LAKES PKWY STE 230, FONTANA, CA 92336-1242
(909) 775-1200
Mailing address
16465 SIERRA LAKES PKWY STE 230, FONTANA, CA 92336-1242
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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