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DR. BRENT C BOYD DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1245883495
Individual Registrant:DR. BRENT C BOYD DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
5807 PINE AVE CHINO HILLS, CA 91709 US
Tel: 714-944-4096 Fax: --
Tel: 714-944-4096 Fax: --
Contact information for business:
27666 PASEO VIOLETA SAN JUAN CAPISTRANO, CA 92675-3839 US
Tel: 714-944-4096 Fax: --
Tel: 714-944-4096 Fax: --
Registration Information:
NPI: 1245883495
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CA | DDS103885 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
