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502 Center St El Segundo CA 90245-3201 | |
| (424) 499-0019 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 502 Center St, El Segundo, California |
| Authorized Official Name and Position | Houda W Hamze (OWNER DENTIST) |
| Authorized Official Contact | 9259636970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
502 Center St El Segundo CA 90245-3201 Ph: (424) 499-0019 | 502 Center St El Segundo CA 90245-3201 Ph: (424) 499-0019 |
| NPI Number | 1972298495 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 01/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972298495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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