Search › Ohio › 122300000X
Petra Boutros, DMD
NPI 1427636273 · on the registry since 2021
Practice
- Address
- 305 W 12th Ave
Columbus, OH 43210 - Phone
- (614) 688-3763
- Organisation at this address
- College Of Dentistry
The Ohio State University
The Ohio State University
Dental Clinics College Of Dentistry
Ohio State Dental Faculty Practice IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 275
Additional practice sites
- 5370 Birkdale St Nw, Canton, OH
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-18
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 Ohio