Individual
DR. ANASTASIA ADEL BOUTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4443 CANDLEWOOD ST, LAKEWOOD, CA 90712-1736
(562) 634-5042
Mailing address
6641 SILENT HARBOR DR, HUNTINGTON BEACH, CA 92648-2643
(714) 926-6249
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
108014
CA
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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