Organization
BOULEVARD DENTAL GROUP OF PAUL AKA DDS, & IKE TOMAS DDS, INC.
Active
Other names
Boulevard Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IKE TOMAS DDS (CO-OWNER DDS)
(909) 570-4087
Entity
Organization
Contact information
Practice address
1180 CALIMESA BLVD, CALIMESA, CA 92320-1509
(909) 570-4087
(909) 570-9405
Mailing address
1180 CALIMESA BLVD, CALIMESA, CA 92320-1509
(909) 570-4087
(909) 570-9405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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