Boris La Noire
Dentist in San Ramon, CA. Individual provider (NPI-1).
NPI number1982107868
StatusActive
Last updated in NPPESApr 30, 2018
Details
- NPI
- 1982107868
- Entity type
- Individual (NPI-1)
- Name
- Boris La Noire
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 16, 2018
- Last updated
- Apr 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 102327 | CA | Yes |
| 1223D0001X | Dentist, Dental Public Health | 102327 | CA |
Practice location
9130 Alcosta Blvd Ste ASan Ramon, CA 94583-3847
Phone 925-230-9414 · Fax 925-803-2568
Mailing address
4870 Geneva AveConcord, CA 94521-2227
Other practice locations
4870 Geneva Ave
Concord, CA 94521-2227
Concord, CA 94521-2227
Phone 925-708-7030
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All 65 Dentist providers in San Ramon · All 2,749 providers in San Ramon
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