Individual
DR. MARIEROSE MALEK BOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
871 HUFFMAN ST, GREENSBORO, NC 27405-7205
(336) 230-0346
(336) 230-0348
Mailing address
871 HUFFMAN ST, GREENSBORO, NC 27405-7205
(336) 230-0346
(336) 230-0348
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7358
NC
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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