Nicholas Guajardo Bohling
Dental Assistant
4th And Inner Loop Road Bldg 171
Fort Irwin
, California 92310
Nicholas Guajardo Bohling
Dental Assistant
4th And Inner Loop Road Bldg 171
Fort Irwin
, California 92310
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Nicholas Guajardo Bohling
- 4th And Inner Loop Road Bldg 171
- Fort Irwin, CA
- Zip : 92310
- Phone :
Second Address
- Nicholas Guajardo Bohling
- 4th And Inner Loop Road Bldg 171
- Fort Irwin, CA
- Zip : 92310
- Phone : (719) 526-5537
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1225650989 |
|---|---|
| Provider Name | Nicholas Guajardo Bohling |
| First Address | Fort Irwin, CA 92310 |
| Second Address | Fort Irwin, CA 92310 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2020 |
| Last Update Date | 15/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.