DR. AMANDA BOISEN, DDS
Dentist - Periodontics
Active
Individual
NPI: 1104406057
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | 104420 (CA) |
Frequently Asked Questions
NPI 1104406057 is the National Provider Identifier for DR. AMANDA BOISEN, DDS, a Dentist - Periodontics provider located in Oakland, CA. This NPI was enumerated on April 13, 2021.
DR. AMANDA BOISEN, DDS practices at 6333 TELEGRAPH AVE STE 101, Oakland, CA 94609.
Quick Facts
- NPI
- 1104406057
- Type
- Individual
- Enumerated
- Apr 13, 2021
- Last Updated
- Oct 24, 2025
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