Organization · Type 2 NPI

Diane Boval DDS A Professional Dental Corp

General Practice Dentistry · San Gabriel, CA

NPI number 1003692849 Active

Practice location

227 W. Valley Blvd, Suite 238A
San Gabriel, CA 91776-3772

Call (562) 352-0620 Map

Fax (866) 817-3581

Mailing address

901 W Whittier Blvd
La Habra, CA 90631-3743

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other general practice dentistry providers in San Gabriel

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NPI record

NPI: 1003692849
Entity type: Organization (Type 2)
Issued: Sep 7, 2023
Last updated: Mar 28, 2026
Status: Active
Subpart: Yes of Diane Boval DDS A Professional Dental Corp

Other names

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Gold Coast Dental · doing business as
Gold Coast Dental San Gabriel · doing business as

Authorized official

Alan Boval
CEO
(562) 905-8338

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003692849

Diane Boval DDS A Professional Dental Corp's National Provider Identifier is 1003692849, issued on Sep 7, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Gabriel, CA. The record was last updated on Mar 28, 2026.