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Organization
SAMIR B HALAKA DDS, INC
Active
Organization
SAMIR B HALAKA DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR BARSOUME HALAKA D.D.S. (PRESIDENT)
(323) 469-8816
Entity
Organization
Contact information
Practice address
6767 W SUNSET BLVD, SUITE 25, LOS ANGELES, CA 90028-7177
(323) 469-8816
(323) 469-2679
Mailing address
6767 W SUNSET BLVD, SUITE 25, LOS ANGELES, CA 90028-7177
(323) 469-8816
(323) 469-2679
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
BY37115
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B37115-01
MEDICAL
CA
Enumeration date
02/09/2007
Last updated
07/18/2008
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