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Individual

DR. ALEX BOUDAIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
11955 W WASHINGTON BLVD, SUITE 106, LOS ANGELES, CA 90066
(310) 237-5747
(310) 237-5988
Mailing address
11955 W WASHINGTON BLVD, SUITE 106, LOS ANGELES, CA 90066
(310) 237-5747
(310) 237-5988

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61933
CA

Other

Enumeration date
06/21/2013
Last updated
09/08/2016
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