Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 2956 | WV |
N | 213EG0000X | General Practice | 2956 | WV |
Y | 1223P0700X | Prosthodontist | DN 13675 | FL |
NPI | 1144496902 |
---|---|
Provider Name | Dr. Gregory K. Boyajian |
First Address | Palm Beach, FL 33480-4695 |
Second Address | Palm Beach, FL 33480-4695 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 01/05/2008 |