Individual provider · Type 1 NPI

Peter Boutros, DMD

Dentist · West Covina, CA

NPI number 1154058998 Active

Practice location

1208 W Francisquito Ave
West Covina, CA 91790-4780

Mailing address

PO Box 4258
Huntington Beach, CA 92605-4258

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X107701 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1154058998

Peter Boutros, DMD's National Provider Identifier is 1154058998, issued on Aug 2, 2022. The primary taxonomy on file is Dentist (122300000X), and the practice location is in West Covina, CA. The record was last updated on Jun 30, 2025.