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Organization
ALEX BOUDAIE, DDS INC.
Active
Organization
ALEX BOUDAIE, DDS INC.
Active
Other names
Pearl Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX BOUDAIE DDS (PRESIDENT)
(310) 237-5747
Entity
Organization
Contact information
Practice address
11955 W WASHINGTON BLVD APT 106, LOS ANGELES, CA 90066-5892
(310) 237-5747
(310) 237-5988
Mailing address
11955 W WASHINGTON BLVD APT 106, LOS ANGELES, CA 90066-5892
(310) 237-5747
(310) 237-5988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
10/10/2019
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