RAFIK BOULOS
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1053961276- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 8501 LASALLE RD 306, TOWSON, MD, 21286
- Phone
- (410) 296-7599
Specialties & Taxonomies
Dentist, General Practice
Primary License: MD #17085