Boulos Dental Care, P.C.

LBN: Boulos Dental Care, P.C.
Boulos Dental Care, P.C. is an health care organization with primary practice located at 470 Highway 96 W Suite 200, Shoreview MN 55126-1996. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Boulos Dental Care, P.C. can be contacted via phone (952) 465-7210, or through Boulos, Samy Wasfy Yousef via phone (952) 465-7210.

Contact Information

Primary practice address
470 Highway 96 W Suite 200 Shoreview MN 55126-1996
Phone: (952) 465-7210
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boulos, Samy Wasfy Yousef
Phone: (952) 465-7210

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 12329 Minnesota

Profile Details

NPI number 1023308392
LBN Legal business name Boulos Dental Care, P.C.
DBA Doing business as
Authorized official Boulos, Samy Wasfy Yousef
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2011
Last updated Apr 7th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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