| Ehab Samaan Dds,inc | |
|
5203 Lakewood Blvd Lakewood CA 90712-2438 | |
| (562) 531-7373 | |
| (562) 531-0489 |
| Full Name | Ehab Samaan Dds,inc |
|---|---|
| Speciality | Dentist |
| Location | 5203 Lakewood Blvd, Lakewood, California |
| Authorized Official Name and Position | Ehab S Samaan (OWNER) |
| Authorized Official Contact | 5625317373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ehab Samaan Dds,inc 5203 Lakewood Blvd Lakewood CA 90712-2438 Ph: (562) 531-7373 | Ehab Samaan Dds,inc 5203 Lakewood Blvd Lakewood CA 90712-2438 Ph: (562) 531-7373 |
| NPI Number | 1548507239 |
|---|---|
| Provider Enumeration Date | 01/15/2013 |
| Last Update Date | 01/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548507239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49798 (California) | Primary |
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