Bou Assi, Carlos

Bou Assi, Carlos is an individual health care provider with primary practice located at 10590 Enduring Freedom Drive , Fort Drum NY 13602-5005. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Bou Assi, Carlos can be contacted via phone (315) 772-6234.

Contact Information

Primary practice address
10590 Enduring Freedom Drive Fort Drum NY 13602-5005
Phone: (315) 772-6234
Fax: (315) 774-3558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 03622 New Hampshire
Dental Providers / Dentist 122300000X 21826 Massachusetts
Dental Providers / General Practice 1223G0001X 22DI02299200 New Jersey

Profile Details

NPI number 1699874453
LBN Legal business name Bou Assi, Carlos
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Apr 9th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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