Individual
ERIC BOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6615 S EASTERN AVE STE 106, LAS VEGAS, NV 89119-3926
(702) 735-3506
Mailing address
10420 S DECATUR BLVD STE 110, LAS VEGAS, NV 89141-8718
(702) 527-4644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7506
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7506
GENERAL DENTIST
NV
Enumeration date
07/19/2021
Last updated
07/19/2021
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