Individual
PIERRE BASSEM BOULOS GHOBRIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7125 N DURANGO DR, LAS VEGAS, NV 89149-4466
(702) 658-2311
Mailing address
6710 VARIEL AVE APT 233, CANOGA PARK, CA 91303-4801
(857) 654-8318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105974
CA
122300000X
Dentist
2.012997
CT
122300000X
Dentist
37000
TX
122300000X
Dentist
Primary
7437
NV
122300000X
Dentist
DN1858898
MA
Other
Enumeration date
02/18/2021
Last updated
03/18/2021
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