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Provider Information for 1407069099

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. JOHN L BOCCHI D.D.S.

Gender: MALE

Individual NPI: 1407069099

Calendar   Last Updated:  2012-05-11
  Certification Date: 

Details

Name Value
NPI 1407069099
Enumeration Date 2007-05-08
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 5465 KIETZKE LANE
RENO, NV 89511-1088
United States

Phone: 775-786-1911 | Fax: 775-786-8149
View Map External Link
Primary Practice Address 5465 KIETZKE LANE
RENO, NV 89511-1088
United States

Phone: 775-786-1911 | Fax: 775-786-8149
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NV 4783