Individual
DR. REBECCA BOARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2299 POST ST, SUITE 302, SAN FRANCISCO, CA 94115-3441
(415) 931-4155
(415) 931-7095
Mailing address
2299 POST ST, SUITE 302, SAN FRANCISCO, CA 94115-3441
(415) 931-4155
(415) 931-7095
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
244569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731708709
TAX ID
CA
Enumeration date
01/05/2007
Last updated
07/08/2007
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