JACK HOLLAND BOATMAN

SAN CLEMENTE, CA
NPI1841391018
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  26810)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
Dr. JACK HOLLAND BOATMAN DDS
122 AVENIDA CABRILLO
SAN CLEMENTE, CA 92672-4039
Phone number: 949-498-4110
Mailing Address
Dr. JACK HOLLAND BOATMAN DDS
122 AVENIDA CABRILLO
SAN CLEMENTE, CA 92672-4039
Phone number: 949-498-4110
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