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Kelly V Boulom, DDS
General Practice Dentistry in Sanger, California
NPI 1821169038

Kelly V Boulom is a General Practice Dentistry based in Clovis, CA and is specialized in General Practice. Kelly V Boulom practices in Sanger, CA and has the professional credentials of DDS. The NPI Number for Kelly V Boulom is 1821169038 and holds a License No. BB8039023 (California).

The current practice location address for Kelly V Boulom is 2432 Jensen Ave, Sanger, CA and can be reached out via phone at 559-875-5538.

Location: 2432 Jensen Ave, Sanger, CA, 93611-8177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821169038
Provider Name
Kelly V Boulom
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2432 Jensen Ave, Sanger, CA, 93611-8177
Phone Number
559-875-5538
Fax Number
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2432 Jensen Ave
City
Sanger
State
California
Zip
93657-2249
Phone Number
559-875-5538
Fax Number
person
Provider Business Mailing Address Details
Address
2432 Jensen Ave
City
Sanger
State
California
Zip
93657-2249
Phone Number
559-875-5538
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
BB8039023 (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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