Individual
DR. JOHN A BOGHOSSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1650 LAUREL ST STE B, SAN CARLOS, CA 94070-5217
(650) 595-0163
(650) 595-0256
Mailing address
1650 LAUREL ST STE B, SAN CARLOS, CA 94070-5217
(650) 595-0163
(650) 595-0256
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
36640
CA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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