# ALEX BOUDAIE, DDS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pearl Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205297280
- **Authorized official:** ALEX BOUDAIE DDS (PRESIDENT)
- **Authorized official phone:** (310) 237-5747

## Contact information

- **Practice address:** 11955 W WASHINGTON BLVD APT 106, LOS ANGELES, CA 90066-5892
- **Practice address phone:** (310) 237-5747
- **Practice address fax:** (310) 237-5988
- **Mailing address:** 11955 W WASHINGTON BLVD APT 106, LOS ANGELES, CA 90066-5892
- **Mailing address phone:** (310) 237-5747
- **Mailing address fax:** (310) 237-5988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2016
- **Last updated:** 10/10/2019