Editha Legaspi Boongaling, DMD
General Practice Dentistry · Vallejo, CA
Practice location
2900 Sonoma BlvdSuite a
Vallejo, CA 94590
- Phone
- (707) 552-8684
- Fax
- (707) 552-2980
NPI record
- NPI
- 1366533358
- Entity type
- Individual (Type 1)
- Enumeration date
- September 27, 2006
- Last updated
- December 17, 2019
- Certified
- December 17, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
40653 | CA |
| Dentist | 122300000X |
40653 | CA |
Mailing address
2900 Sonoma BlvdSuite a
Vallejo, CA 94590-3810
- Phone
- (707) 552-8684
- Fax
- (707) 552-2980
Other practice locations (1)
- 450 Sutter St Rm 1426, San Francisco, CA 94108-4010 · (415) 434-3088
About Dr. Boongaling
Editha Legaspi Boongaling, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2900 Sonoma Blvd, Suite a, Vallejo, CA 94590. The NPI number 1366533358 was assigned on September 27, 2006 and the record was last updated on December 17, 2019.
Dr. Boongaling lists 2 licenses in the registry: #40653 (CA) for General Practice Dentistry; #40653 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Editha Legaspi Boongaling, DMD?
The NPI number is 1366533358.
What is the phone number of Dr. Boongaling?
The phone number listed for the practice location is (707) 552-8684.
Where is Dr. Boongaling located?
2900 Sonoma Blvd, Suite a, Vallejo, CA 94590.
What is the taxonomy code for Dr. Boongaling?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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