Icboggan, Inc
Icboggan, Inc is a Dental Hygienist in Lafayette, California. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3799 Mt Diablo Blvd Unit 200Lafayette, CA 94549-3545
Phone: (925) 962-7450
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|---|
| Dental Hygienist | Taxonomy 124Q00000X |
Record details
| NPI number | 1962035261 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nerissa Boggan — Rdh · (925) 962-7450 |
| Other names | Nerissa T. Boggan; Orofacial Fitness |
| NPI enumerated | February 15, 2020 |
| Last updated in NPPES | July 24, 2022 |
| Certification date | July 24, 2022 |
| Mailing address | 3799 Mt Diablo Blvd Ste 200, Lafayette, CA 94549-3545 |