Individual
DR. JUDY ANDREA BOUTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4210 W CENTRAL AVE, OTTAWA HILLS, OH 43606-2270
(567) 389-8889
Mailing address
6455 MONROE ST APT 309, SYLVANIA, OH 43560-1479
(419) 206-9289
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
30021105
OH
Other
Enumeration date
06/21/2007
Last updated
08/02/2026
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