DR. Mirette Boushra, DMD

NPI #1306498035 in Flossmoor, Illinois

Provider Information

NPI Number: 1306498035
Entity Type: Individual
Name: DR. Mirette Boushra, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 12, 2019
Last Updated: Aug 10, 2019

Practice Location

Address: 19815 GOVERNORS HWY STE 7
City: Flossmoor
State: Illinois
ZIP Code: 60422
Phone: (708) 794-4253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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