Individual provider · Type 1 NPI

Kelly V. Boulom, DDS

General Practice Dentistry · Sanger, CA

NPI number 1821169038 Active

Practice location

2432 Jensen Ave
Sanger, CA 93657-2249

Call (559) 875-5538 Map

Mailing address

2713 Goshen Ave
Clovis, CA 93611-8177

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XBB8039023 (CA)

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.

2 other providers at this address

Other general practice dentistry providers in Sanger

See all in Sanger →

About NPI 1821169038

Kelly V. Boulom, DDS's National Provider Identifier is 1821169038, issued on Nov 10, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sanger, CA. The record was last updated on Jul 8, 2007.