Individual
DR. TOBIAS KONRAD BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, PH.D.
Contact information
Practice address
795 E SECOND STREET, SUITE 8, POMONA, CA 91766-2007
(909) 706-3910
(909) 469-8650
Mailing address
309 E SECOND ST, COLLEGE OF DENTAL MEDICINE / WESTERN UNIVERSITY, POMONA, CA 91766-1854
(909) 706-3831
(909) 706-3800
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
053283-1
NY
1223P0300X
Periodontics
Primary
59807
CA
Other
Enumeration date
01/08/2010
Last updated
05/23/2018
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