Boutros, Shadi
Boutros, Shadi is an individual health care provider with primary practice located at 2500 Alhambra Ave , Martinez CA 94553-3156. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Boutros, Shadi can be contacted via phone (925) 370-5200.Contact Information
Primary practice address
2500 Alhambra Ave
Martinez CA 94553-3156
Phone: (925) 370-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 54887 | California |
Profile Details
| NPI number | 1457489239 |
|---|---|
| LBN Legal business name | Boutros, Shadi |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | May 13th, 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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