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Michelle Elizabeth Boden, DDS
General Practice Dentistry in Los Angeles, California
NPI 1063035947

Michelle Elizabeth Boden is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Michelle Elizabeth Boden practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Michelle Elizabeth Boden is 1063035947 and holds a License No. 106766 (California).

The current practice location address for Michelle Elizabeth Boden is 1663 Selby Ave Unit 2, Los Angeles, CA and can be reached out via phone at 408-603-5087.

Location: 1663 Selby Ave Unit 2, Los Angeles, CA, 90024-5777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063035947
Provider Name
Michelle Elizabeth Boden
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1663 Selby Ave Unit 2, Los Angeles, CA, 90024-5777
Phone Number
408-603-5087
Fax Number
Provider Enumeration Date
05/26/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
106766 01 CA DENTAL BOARD OF CALIFORNIA LICENSE
institution
Provider Business Practice Location Address Details
Address
1663 Selby Ave Unit 2
City
Los Angeles
State
California
Zip
90024-5777
Phone Number
408-603-5087
Fax Number
person
Provider Business Mailing Address Details
Address
1663 Selby Ave Unit 2
City
Los Angeles
State
California
Zip
90024-5777
Phone Number
408-603-5087
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
106766 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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