Diane Boval DDS a Community Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DIANE BOVAL DDS A COMMUNITY DENTAL CORP.

Practice address

113 Waterworks Way
Suite 355
Irvine, CA 92618-1367

Phone

(949) 284-2913

Fax

(949) 954-3092

NPI assigned

Aug 24, 2023

Organization subpart

Yes

Parent organization

DIANE BOVAL DDS A COMMUNITY DENTAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alan Boval

Title

Chief Executive Officer

Phone

(562) 356-0948

Specialties & licenses 1

Addresses

Other names 1

• Gold Coast Dental Irvine Doing business as

Part of

Diane Boval DDS a Community Dental Corp

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1043094428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313743",
            "telephone_number": "562-356-0948",
            "fax_number": "866-817-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "SUITE 355",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181367",
            "telephone_number": "949-284-2913",
            "fax_number": "949-954-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE BOVAL DDS A COMMUNITY DENTAL CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIANE BOVAL DDS A COMMUNITY DENTA",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BOVAL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "562-356-0948"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Coast Dental Irvine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Dewitte
• Sarah Dexheimer
• DH Lee DDS Inc
• Amy Kaur Dhanjal, RN, PHN
• Diana M Girnita MD PC
• Diana Xavier Dias
• Ilse Ivette Diaz
• Peter Joseph Diaz
• Rebecca Diaz
• Susana Diaz

• General Practice Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.