Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER BOUTROS, DMD
Active Sole ProprietorDentist · WEST COVINA, CA
Registration Details
- NPI Number
- 1154058998
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2022 (3.7630831538425 yrs)
- Last Updated
- Jun 30, 2025
- License
-
107701 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1208 W FRANCISQUITO AVEWEST COVINA, CA, 917904780Browse CA providers · Browse ZIP 91790
- Phone
- 7142626341
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WEST COVINA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ELIZABETH POLK CONSTANTINO | D.M.D. | 1679575468 |
| DR. OSCAR MARIN | D.D.S. | 1174540637 |
| DR. YOUNG WOO KIM | DDS | 1710990940 |
| KY HA | D.D.S | 1154434843 |
| DR. RAMI MOUZAYEK KOUZ | DDS | 1528171915 |
| DR. YAOJEN CHANG | DDS | 1891893152 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.