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1275775348
SAMY WASFY BOULOS
SHOREVIEW, MN
NPI
1275775348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN D12329)
Enumeration Date
2009-04-03
Last Update Date
2019-02-14
Business Address
Dr. SAMY WASFY BOULOS DDS
470 HIGHWAY 96 W STE 200
SHOREVIEW, MN 55126-3214
Phone number: 651-366-6880
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Mailing Address
Dr. SAMY WASFY BOULOS DDS
470 HIGHWAY 96 W STE 200
SHOREVIEW, MN 55126-3214
Phone number: 651-366-6880
Copy
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