Individual
RAFIK BOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8501 LASALLE RD, 306, TOWSON, MD 21286
(410) 296-7599
Mailing address
3730 LIGON RD, ELLICOTT CITY, MD 21042-5241
(410) 900-3882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17085
MD
Other
Enumeration date
09/19/2019
Last updated
04/19/2026
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