Organization · Type 2 NPI
Boehm Dental Specialists PC
Periodontics · Fontana, CA
NPI number
1174417935
Active
Practice location
16465 Sierra Lakes Pkwy Ste 230
Fontana, CA 92336-1242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1174417935
Boehm Dental Specialists PC's National Provider Identifier is 1174417935, issued on Jun 5, 2025. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fontana, CA. The record was last updated on Jun 5, 2025.