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Contact Information

BOERO & PIERI DDS A DENTAL CORPORATION
908 E STREET
SAN RAFAEL, CA94901
 Phone: 415-454-8640
 Fax: 415-457-3241
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BOERO & PIERI DDS A DENTAL CORPORATION

NPI Number 1063572261
LBN Legal business name BOERO & PIERI DDS A DENTAL CORPORATION
Authorized official GARY BOERO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # 18450
CA License # 219797
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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