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Individual
DR. SAMY WASFY BOULOS
Active
Individual
DR. SAMY WASFY BOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12329
MN
Other
Enumeration date
04/03/2009
Last updated
02/14/2019
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