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1538549605
MOKHTAR BOUSHABA
SOUTH BURLINGTON, VT
NPI
1538549605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VT 016.0112279)
Enumeration Date
2015-06-04
Last Update Date
2015-06-04
Business Address
Dr. MOKHTAR BOUSHABA D.M.D
165 DORSET ST
SOUTH BURLINGTON, VT 05403-6251
Phone number: 518-322-1588
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Mailing Address
Dr. MOKHTAR BOUSHABA D.M.D
165 DORSET ST
SOUTH BURLINGTON, VT 05403-6251
Phone number: 518-322-1588
Copy
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