Search › California › 1223G0001X
Kelly Boulom, DDS
NPI 1821169038 · on the registry since 2006
Practice
- Address
- 2432 Jensen Ave
Sanger, CA 93657 - Phone
- (559) 875-5538
- Organisation at this address
- Ramandeep Gill Dds Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California