Boushaba, Mokhtar
Boushaba, Mokhtar is an individual health care provider with primary practice located at 165 Dorset St , South Burlington VT 05403-6251. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Boushaba, Mokhtar can be contacted via phone (518) 322-1588.Contact Information
Primary practice address
165 Dorset St
South Burlington VT 05403-6251
Phone: (518) 322-1588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 016.0112279 | Vermont |
Profile Details
| NPI number | 1538549605 |
|---|---|
| LBN Legal business name | Boushaba, Mokhtar |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2015 |
| Last updated | Jun 4th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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