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Dr. Shadi Boutros, DDS
Oral and Maxillofacial Surgery (Dentist) in Martinez, California
NPI 1457489239

Shadi Boutros is a Oral and Maxillofacial Surgery (Dentist) based in Martinez, CA and is specialized in Oral and Maxillofacial Surgery. Shadi Boutros practices in Martinez, CA and has the professional credentials of DDS. The NPI Number for Shadi Boutros is 1457489239 and holds a License No. 54887 (California).

The current practice location address for Shadi Boutros is 2500 Alhambra Ave, Martinez, CA and can be reached out via phone at 925-370-5200.

Location: 2500 Alhambra Ave, Martinez, CA, 94553-3156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457489239
Provider Name
Shadi Boutros
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2500 Alhambra Ave, Martinez, CA, 94553-3156
Phone Number
925-370-5200
Fax Number
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2500 Alhambra Ave
City
Martinez
State
California
Zip
94553-3156
Phone Number
925-370-5200
Fax Number
person
Provider Business Mailing Address Details
Address
2500 Alhambra Ave
City
Martinez
State
California
Zip
94553-3156
Phone Number
925-370-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
54887 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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