Organization
TURTLE COVE DENTAL
Active
Parent organization
BOULOS DENTAL CARE
Other names
Turtle Cove Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOULOS DENTAL CARE
Authorized official
SAMY BOULOS DDS (OWNER)
(763) 428-2300
Entity
Organization
Contact information
Practice address
14000 NORTHDALE BLVD STE J, ROGERS, MN 55374-4663
(763) 428-2300
(763) 428-4031
Mailing address
PO BOX 270511, SAINT PAUL, MN 55127-0511
(651) 366-6880
(651) 366-6881
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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