Bassel Boulos
NPI #1467902155 in Roxbury, Massachusetts
Provider Information
- NPI Number
- 1467902155
- Entity Type
- Individual
- Name
- Bassel Boulos
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 6, 2016
- Last Updated
- Sep 20, 2019
Practice Location
- Address
- 1290 TREMONT ST
- City
- Roxbury
- State
- Massachusetts
- ZIP Code
- 02120-3432
- Phone
- (617) 427-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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