Search › North Carolina › 103T00000X
Manijeh Boustani, PH.D
NPI 1134215031 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2401 Wooten Blvd Sw Ste K
Wilson, NC 27893 - Phone
- (252) 291-0735
- Fax
- (252) 291-2890
- Organisation at this address
- Clement B Woodard Dds Pa
Jasmine R Elmore Dds Pllc
Wilson Pediatric Dentistry
Rolando A. Prado, Dds, Ms, Pa
A & B Consultant Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 105 S Ellington St, Clayton, NC
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina