Boca Dental Premier
Boca Dental Premier is a Dental Clinic/Center in South Lake Tahoe, California. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2018 Lake Tahoe BlvdSouth Lake Tahoe, CA 96150-6402
Phone: (702) 703-1590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1306721931 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Wilcox — Director Of Billing · (702) 703-1590 |
| NPI enumerated | August 11, 2025 |
| Last updated in NPPES | September 5, 2025 |
| Certification date | September 5, 2025 |
| Mailing address | 8989 W Flamingo Rd, Las Vegas, NV 89147-0431 |
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