Boudaie Dental PC

NPI #1306488341 in El Segundo, California

Provider Information

NPI Number: 1306488341
Entity Type: Organization
Organization Name: Boudaie Dental PC
Primary Specialty: Dentist
Enumeration Date: Oct 10, 2019
Last Updated: Oct 10, 2019

Practice Location

Address: 630 N PACIFIC COAST HWY STE 15
City: El Segundo
State: California
ZIP Code: 90245-3435
Phone: (310) 341-3041

Authorized Official

Name: ALEX BOUDAIE, DDS
Title: PRESIDENT
Phone: (310) 341-3041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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