Organization
BOULEVARD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GOBRIAL DDS (PRESIDENT)
(818) 268-2448
Entity
Organization
Contact information
Practice address
939 E PALMDALE BLVD, PALMDALE, CA 93550-4711
(661) 937-7747
Mailing address
937 E PALMDALE BLVD, PALMDALE, CA 93550-4711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59655
CA
Other
Enumeration date
05/10/2018
Last updated
11/01/2022
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