Organization
BOGHAWALA DDS INC
Active
Other names
Innovative Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
JESMINE BOGHAWALA DDS (OWNER)
(562) 542-3080
Entity
Organization
Contact information
Practice address
1042 E WARDLOW RD, LONG BEACH, CA 90807-4708
(562) 542-3080
Mailing address
1042 E WARDLOW RD, LONG BEACH, CA 90807-4708
(562) 542-3080
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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