Organization · Type 2 NPI
Icboggan, Inc
Specialist · Lafayette, CA
NPI number
1962035261
Active
Practice location
3799 Mt Diablo Blvd Unit 200
Lafayette, CA 94549-3545
Mailing address
3799 Mt Diablo Blvd Ste 200
Lafayette, CA 94549-3545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist | 124Q00000X | None listed |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Lafayette
About NPI 1962035261
Icboggan, Inc's National Provider Identifier is 1962035261, issued on Feb 15, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lafayette, CA. The record was last updated on Jul 24, 2022.