Individual
ANDREW MEENA BOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3411 SW 36TH TER UNIT 1, OCALA, FL 34474-7404
(352) 390-3699
Mailing address
2305 FOLIAGE OAK TER, OVIEDO, FL 32766-7022
(321) 266-0811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN27029
FL
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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