| Boudaie Dental Pc | |
|
630 N Pacific Coast Hwy Ste 15 El Segundo CA 90245-3435 | |
| (310) 341-3041 | |
| (310) 341-3328 |
| Full Name | Boudaie Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 630 N Pacific Coast Hwy Ste 15, El Segundo, California |
| Authorized Official Name and Position | Alex Boudaie (PRESIDENT) |
| Authorized Official Contact | 3103413041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boudaie Dental Pc 630 N Pacific Coast Hwy Ste 15 El Segundo CA 90245-3435 Ph: (310) 341-3041 | Boudaie Dental Pc 630 N Pacific Coast Hwy Ste 15 El Segundo CA 90245-3435 Ph: (310) 341-3041 |
| NPI Number | 1306488341 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 10/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306488341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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