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NPI Code Detail

MEDICARE: DR. WILLIAM LEE BOYER D.D.S.

MEDICARE:  DR. WILLIAM LEE BOYER  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry30525CA

General Provider Information

NPI Number : 1023195757
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM LEE BOYER D.D.S.
Provider Business Mailing Address
First Line : 3509 SWEETWATER SPRINGS BLVD STE 1
Second Line :
City : SPRING VALLEY
State : CA
Zip : 91978-1064
Country : US
Telephone Number : 619-670-4471
Fax Number : 619-670-8716
Provider Business Practice Location Address
First Line : 3509 SWEETWATER SPRINGS BLVD STE 1
Second Line :
City : SPRING VALLEY
State : CA
Zip : 91978-1064
Country : US
Telephone Number : 619-670-4471
Fax Number : 619-670-8716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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