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Search › California › General Practice Dentistry

Jack Boatman, DDS

NPI 1841391018 · on the registry since 2006 · sole proprietor

Practice

Address
122 Avenida Cabrillo
San Clemente, CA 92672
Phone
(949) 498-4110
Fax
(949) 498-8657
Organisation at this address
Kristen Ritzau Dds, Inc.
Kristen Ritzau D.D.S., Inc.
Kristen Ritzau, D.D.S., Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
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