Boulos Dental Care, P.c.

NPI 1023308392 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1023308392
Enumeration Date 04/07/2011
Last Updated 04/07/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name SAMY WASFY YOUSEF SAMY
Position DENTIST (DDS)
Phone (952) 465-7210
Fax
Practice Location
470 HIGHWAY 96 W
SUITE 200
SHOREVIEW MN, 55126-1996, US
Phone (952) 465-7210
Fax
Business Location
110 CARLSON PKWY
APT #115
MINNETONKA MN, 55305-5334, US
Phone (952) 465-7210
Fax
Toxanomy
Taxonomy Code 302F00000X
License State Minnesota
License Number 12329
Remove 1023308392 NPI Number
 

According to our database, Boulos Dental Care, P.c. NPI is 1023308392, taxonomy code is 302F00000X and license number is 12329, license state is located at Minnesota. Boulos Dental Care, P.c. physically located at 470 Highway 96 W, Shoreview MN, 55126-1996. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1023308392 NPI number is provided on an as is basis without warranty of any kind. 1023308392 is maintained by the National Plan & Provider Enumeration System. The contents of Boulos Dental Care, P.c. are for informational purposes only.