DR. Samy Wasfy Boulos, DDS

NPI #1275775348 in Shoreview, Minnesota

Provider Information

NPI Number
1275775348
Entity Type
Individual
Name
DR. Samy Wasfy Boulos, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Apr 3, 2009
Last Updated
Feb 14, 2019

Practice Location

Address
470 HIGHWAY 96 W STE 200
ZIP Code
55126-3214
Phone
(651) 366-6880

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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