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Dr. Audrey M Boutros, D.D.S., M.S.

Dentist, Orthodontics and Dentofacial Orthopedics in Bellaire, TX. Individual provider (NPI-1).

NPI number1881727808
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1881727808
Entity type
Individual (NPI-1)
Name
Dr. Audrey M Boutros
Credential
D.D.S., M.S.
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 13, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics19236TXYes

Practice location

6750 West Loop S
Suite 150
Bellaire, TX 77401-4103

Phone 713-218-8338 · Fax 713-218-6888

Mailing address

6750 West Loop S
Suite 150
Bellaire, TX 77401-4103

Phone 713-218-8338 · Fax 713-218-6888

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