Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nardeen Boulos, DMD

Individual provider Dentist · NPI 1679190342

Nardeen Boulos, DMD is a Dentist in San Jacinto, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1695 S San Jacinto Ave Ste N
San Jacinto, CA 92583-5104
Phone: (949) 521-9854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 104954 (CA)

Record details

NPI number1679190342
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 29, 2020
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024
Mailing address78 Billings Ave, Beaumont, CA 92223-3127

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