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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