Individual
DR. ROGER P. BOERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
908 E ST, SAN RAFAEL, CA 94901-2851
(415) 457-2440
(415) 457-2442
Mailing address
908 E ST, SAN RAFAEL, CA 94901-2851
(415) 457-2440
(415) 457-2442
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17815
CA
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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