DR. MIRETTE BOUSHRA, DMD

Dentist

Active Individual
NPI: 1306498035

Practice Address

19815 GOVERNORS HWY STE 7
Flossmoor, IL 60422

Phone: (708) 794-4253

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 019032069 (IL)

Frequently Asked Questions

NPI 1306498035 is the National Provider Identifier for DR. MIRETTE BOUSHRA, DMD, a Dentist provider located in Flossmoor, IL. This NPI was enumerated on July 12, 2019.
DR. MIRETTE BOUSHRA, DMD practices at 19815 GOVERNORS HWY STE 7, Flossmoor, IL 60422.

Quick Facts

NPI
1306498035
Type
Individual
Enumerated
Jul 12, 2019
Last Updated
Aug 10, 2019

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