Boudaie Dental Pc

LBN: Boudaie Dental Pc
Boudaie Dental Pc is an health care organization with primary practice located at 630 N Pacific Coast Hwy Ste 15 , El Segundo CA 90245-3435. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Boudaie Dental Pc can be contacted via phone (310) 341-3041, or through Boudaie, Alex via phone (310) 341-3041.

Contact Information

Primary practice address
630 N Pacific Coast Hwy Ste 15 El Segundo CA 90245-3435
Phone: (310) 341-3041
Fax: (310) 341-3328
Website:
Map and Directions
Authorized official contact:
Name: Boudaie, Alex Doctor of Dental Surgery (DDS)
Phone: (310) 341-3041

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1306488341
LBN Legal business name Boudaie Dental Pc
DBA Doing business as
Authorized official Boudaie, Alex Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2019
Last updated Oct 10th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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