Boland, John Edwin

Boland, John Edwin is an sole proprietor health care provider with primary practice located at 770 Tamalpais Dr Suite 404, Corte Madera CA 94925-1700. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Boland, John Edwin can be contacted via phone (415) 927-7711.

Contact Information

Primary practice address
770 Tamalpais Dr Suite 404 Corte Madera CA 94925-1700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 22784 California

Profile Details

NPI number 1992717284
LBN Legal business name Boland, John Edwin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers