# RAFY LUQA, D.D.S., LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boulevard Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376316752
- **Authorized official:** RAFY LUQA DDS (OWNER/DENTIST)
- **Authorized official phone:** (804) 229-7613

## Contact information

- **Practice address:** 658 ALLEGHENY RIVER BLVD, OAKMONT, PA 15139-1539
- **Practice address phone:** (412) 828-8867
- **Mailing address:** 658 ALLEGHENY RIVER BLVD, OAKMONT, PA 15139-1539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2023
- **Last updated:** 11/06/2023