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Icboggan, Inc
Specialist in Lafayette, California
NPI 1962035261

Icboggan, Inc is a Specialist based in Lafayette, CA. Icboggan, Inc practices in Lafayette, CA. The NPI Number for Icboggan, Inc is 1962035261 and holds a License No. (California).

The current practice location address for Icboggan, Inc is 3799 Mt Diablo Blvd Unit 200, Lafayette, CA and can be reached out via phone at 925-962-7450.

Location: 3799 Mt Diablo Blvd Unit 200, Lafayette, CA, 94549-3545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962035261
Provider Name
Icboggan, Inc
Credential
Provider Entity Type
Organization
Address
3799 Mt Diablo Blvd Unit 200, Lafayette, CA, 94549-3545
Phone Number
925-962-7450
Fax Number
Provider Enumeration Date
02/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3799 Mt Diablo Blvd Unit 200
City
Lafayette
State
California
Zip
94549-3545
Phone Number
925-962-7450
Fax Number
person
Provider Business Mailing Address Details
Address
3799 Mt Diablo Blvd Unit 200
City
Lafayette
State
California
Zip
94549-3545
Phone Number
925-962-7450
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
()
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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