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Dr. Samy Wasfy Boulos, DDS
General Practice Dentistry in Shoreview, Minnesota
NPI 1275775348

Samy Wasfy Boulos is a General Practice Dentistry based in Shoreview, MN and is specialized in General Practice. Samy Wasfy Boulos practices in Shoreview, MN and has the professional credentials of DDS. The NPI Number for Samy Wasfy Boulos is 1275775348 and holds a License No. D12329 (Minnesota).

The current practice location address for Samy Wasfy Boulos is 470 Highway 96 W Ste 200, Shoreview, MN and can be reached out via phone at 651-366-6880 and via fax at 651-366-6881.

Location: 470 Highway 96 W Ste 200, Shoreview, MN, 55126-3214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275775348
Provider Name
Samy Wasfy Boulos
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
470 Highway 96 W Ste 200, Shoreview, MN, 55126-3214
Phone Number
651-366-6880
Fax Number
651-366-6881
Provider Enumeration Date
04/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
470 Highway 96 W Ste 200
City
Shoreview
State
Minnesota
Zip
55126-3214
Phone Number
651-366-6880
Fax Number
651-366-6881
person
Provider Business Mailing Address Details
Address
470 Highway 96 W Ste 200
City
Shoreview
State
Minnesota
Zip
55126-3214
Phone Number
651-366-6880
Fax Number
651-366-6881
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D12329 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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