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Organization
MAHA M. BOULOS DDS, INC.
Active
Organization
MAHA M. BOULOS DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHA BOULOS DDS (DENTIST)
(206) 229-3854
Entity
Organization
Contact information
Practice address
23332 HAWTHORNE BLVD, TORRANCE, CA 90505-3749
(206) 229-3854
Mailing address
23332 HAWTHORNE BLVD STE 101, TORRANCE, CA 90505-3766
(310) 792-0049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/21/2020
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