Individual provider · Type 1 NPI
Bernard James Boback Iii, DMD MS
Orthodontics and Dentofacial Orthopedics Dentistry · Murrieta, CA
Practice location
40307 Miklich Dr
Murrieta, CA 92563-4352
Mailing address
2828 Weeping Willow Rd
Chula Vista, CA 91915-1681
Other practice locations
- 10974 1/4 Roebling Ave, Los Angeles, CA 90024-2723 · (570) 362-3771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 34613 (TX) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DDS101535 (CA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1154844702
Bernard James Boback Iii, DMD MS's National Provider Identifier is 1154844702, issued on Jul 25, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Murrieta, CA. The record was last updated on Jan 11, 2023.