| Hongbo Xu D.d.s. | |
|
3011 Santa Monica Blvd Santa Monica CA 90404-2555 | |
| (310) 829-1559 | |
| (310) 828-7383 |
| Full Name | Hongbo Xu D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3011 Santa Monica Blvd, Santa Monica, California |
| Authorized Official Name and Position | Hongbo Xu (OWNER) |
| Authorized Official Contact | 3107095687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hongbo Xu D.d.s. 3011 Santa Monica Blvd Santa Monica CA 90404-2555 Ph: (310) 829-1559 | Hongbo Xu D.d.s. 3011 Santa Monica Blvd Santa Monica CA 90404-2555 Ph: (310) 829-1559 |
| NPI Number | 1619313301 |
|---|---|
| Provider Enumeration Date | 05/21/2013 |
| Last Update Date | 05/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619313301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54458 (California) | Primary |
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