Dr. Thomas Michael Boone, d.d.s.
Dentist, General Practice in Stanton, CA. Individual provider (NPI-1).
NPI number1124042460
StatusActive
Last updated in NPPESMay 14, 2011
Details
- NPI
- 1124042460
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Michael Boone
- Credential
- d.d.s.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2006
- Last updated
- May 14, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 34661 | CA | Yes |
Practice location
11702 Beach BlvdStanton, CA 90680-3609
Phone 714-898-5600 · Fax 800-535-9941
Mailing address
Po Box 1543Sunset Beach, CA 90742-1543
Phone 714-606-9194 · Fax 310-327-9146
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