Boulos, Samy Wasfy
Boulos, Samy Wasfy is an individual health care provider with primary practice located at 470 Highway 96 W Ste 200 , Shoreview MN 55126-3214. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boulos, Samy Wasfy can be contacted via phone (651) 366-6880.Contact Information
Primary practice address
470 Highway 96 W Ste 200
Shoreview MN 55126-3214
Phone: (651) 366-6880
Fax: (651) 366-6881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D12329 | Minnesota |
Profile Details
| NPI number | 1275775348 |
|---|---|
| LBN Legal business name | Boulos, Samy Wasfy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2009 |
| Last updated | Feb 14th, 2019 - about 5 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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