Boulos Dental Care, P.c.
NPI #1023308392 in Shoreview, Minnesota
Provider Information
- NPI Number
- 1023308392
- Entity Type
- Organization
- Organization Name
- Boulos Dental Care, P.c.
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Apr 7, 2011
- Last Updated
- Apr 7, 2011
Practice Location
Authorized Official
- Name
- DR. SAMY WASFY YOUSEF BOULOS
- Title
- DENTIST (DDS)
- Phone
- (952) 465-7210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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