Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHADI BOUTROS, DDS
ActiveDR. SHADI BOUTROS, DDS is a Oral & Maxillofacial Surgery healthcare provider located in MARTINEZ, California. NPI 1457489239 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · MARTINEZ, CA
Registration Details
- NPI Number
- 1457489239
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2007 (19.494699087183 yrs)
- Last Updated
- May 13, 2015
- License
-
54887 (CA)
Practice Information
- Address
-
2500 ALHAMBRA AVEMARTINEZ, CA, 945533156Browse CA providers · Browse ZIP 94553
- Phone
- 9253705200
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
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.